| South Coast Family Dentistry | |
|
295 S 10th St Coos Bay OR 97420-4623 | |
| (541) 269-5353 | |
| (541) 266-0933 |
| Full Name | South Coast Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 295 S 10th St, Coos Bay, Oregon |
| Authorized Official Name and Position | Nicholas I Horn (BILLING & CLAIMS MANAGER) |
| Authorized Official Contact | 5412695353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Family Dentistry 295 S 10th St Coos Bay OR 97420-4623 Ph: (541) 269-5353 | South Coast Family Dentistry 295 S 10th St Coos Bay OR 97420-4623 Ph: (541) 269-5353 |
| NPI Number | 1790096402 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790096402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9399 (Oregon) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Steven D. Richardson D.m.d. L.l.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1835 Ocean Blvd Se, Coos Bay, OR 97420 Phone: 541-269-0620 Fax: 541-269-9243 | |
Alan Liesinger Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Park Ave., Suite 7, Coos Bay, OR 97420 Phone: 541-267-2329 Fax: 541-267-4026 | |
Treavor D Fisher, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Highland Ave, Coos Bay, OR 97420 Phone: 541-269-2100 |