| Advantage Dental Oral Health Center | |
|
1275 Oregon Ave Se Bandon OR 97411-9102 | |
| (541) 551-4022 | |
| (541) 516-4058 |
| Full Name | Advantage Dental Oral Health Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1275 Oregon Ave Se, Bandon, Oregon |
| Authorized Official Name and Position | Sharon Edmondson (MANGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6299995014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental Oral Health Center Po Box 11470 Eugene OR 97440-3670 Ph: (888) 468-0022 | Advantage Dental Oral Health Center 1275 Oregon Ave Se Bandon OR 97411-9102 Ph: (541) 551-4022 |
| NPI Number | 1447812813 |
|---|---|
| Provider Enumeration Date | 07/05/2019 |
| Last Update Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447812813 | NPI | - | NPPES |
| 500694195 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Bandon Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 2nd St Se, Bandon, OR 97411 Phone: 541-347-4461 Fax: 541-347-9152 |