Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coffee Creek Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1689331753

Coffee Creek Pediatric Dentistry PLLC is a Pediatric Dentistry in Edmond, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2800 N Kelly Ave Ste 200
Edmond, OK 73003-3004
Phone: (405) 562-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1689331753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Ferguson — Owner · (405) 562-2222
Other names Children'S Dentistry Of Coffee Creek
NPI enumeratedNovember 23, 2021
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021
Mailing address2800 N Kelly Ave Ste 200, Edmond, OK 73003-3004

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