Paul Pantleo

Dentist · Bandon, OR

Individual Active NPI

NPI number 1124276159

Practice location

1097 Baltimore Ave SE.
Bandon, OR 97411-8855
Phone
(541) 329-0550
Fax
(541) 329-0309

Open in Google Maps

NPI record

NPI
1124276159
Entity type
Individual (Type 1)
Enumeration date
September 3, 2008
Last updated
December 3, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D9802 OR

Mailing address

1097 Baltimore Ave
Bandon, OR 97411
Phone
(541) 329-0550

About Paul Pantleo

Paul Pantleo is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1097 Baltimore Ave SE., Bandon, OR 97411-8855. The NPI number 1124276159 was assigned on September 3, 2008 and the record was last updated on December 3, 2012.

Paul Pantleo lists a license in the registry: #D9802 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Paul Pantleo?

The NPI number is 1124276159.

What is the phone number of Paul Pantleo?

The phone number listed for the practice location is (541) 329-0550.

Where is Paul Pantleo located?

1097 Baltimore Ave SE., Bandon, OR 97411-8855.

What is the taxonomy code for Paul Pantleo?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Bandon

All Dentist providers in Bandon, OR →