Bandon Coastal Dental, LLC
NPI 1063756401ActiveOrganization· Clinic/Center· Bandon, OR
Clinic/Center in Bandon, Oregon, registered in NPPES in November 2012. The authorized official on file is Paul Morris Pantleo, D.D.S., Owner.
Overview
| NPI | 1063756401 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2012 |
| Last updated in NPPES | Nov 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | D9802 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|