Advantage Dental Oral Health Center

LBN: Advantage Dental Group, Pc
Advantage Dental Oral Health Center is an health care organization with primary practice located at 1275 Oregon Ave Se , Bandon OR 97411-9102. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Advantage Dental Group, Pc can be contacted via phone (541) 551-4022, or through Edmondson, Sharon via phone (629) 999-5014.

Contact Information

Primary practice address
1275 Oregon Ave Se Bandon OR 97411-9102
Phone: (541) 551-4022
Fax: (541) 516-4058
Website:
Map and Directions
Authorized official contact:
Name: Edmondson, Sharon
Phone: (629) 999-5014

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1447812813
LBN Legal business name Advantage Dental Group, Pc
DBA Doing business as Advantage Dental Oral Health Center
Authorized official Edmondson, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2019
Last updated Oct 25th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447812813 NPPES
Oregon MEDICAID 500694195

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