Coffee Creek Family Dentistry
Coffee Creek Family Dentistry is a Dental Clinic/Center in Edmond, Oklahoma. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2600 Tayler StEdmond, OK 73003-2134
Phone: (405) 844-6333
Fax: (405) 844-6331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1629543251 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mack Rudd — Owner · (405) 844-6333 |
| NPI enumerated | October 10, 2018 |
| Last updated in NPPES | January 20, 2021 |
| Certification date | January 20, 2021 |
| Mailing address | 2600 Tayler St, Edmond, OK 73003-2134 |
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