Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Coast Dental Group LLC

Organization Dentist · NPI 1790096402

South Coast Dental Group LLC is a Dentist in Coos Bay, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

295 S 10th St
Coos Bay, OR 97420-4623
Phone: (541) 269-5353
Fax: (541) 266-0933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Delaware Ave Se, Bandon, OR 97411-9471 — (541) 551-7347

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D9399 (OR)

Record details

NPI number1790096402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Horn — Billing & Claims Manager · (541) 269-5353
Other names South Coast Family Dentistry; South Coast Family Dentistry; South Coast Dental Group
NPI enumeratedJune 28, 2010
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address295 S 10th St, Coos Bay, OR 97420-4623

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