COFFEE CREEK PEDIATRIC DENTISTRY PLLC NPI 1689331753

NPI Information

COFFEE CREEK PEDIATRIC DENTISTRY PLLC is a pediatric dentistry dentist in Edmond, OK. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. COFFEE CREEK PEDIATRIC DENTISTRY PLLC NPI is 1689331753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 N KELLY AVE STE 200
EDMOND, OK
ZIP 73003-004
Phone: (405) 562-2222

The provider's authorized official is Stephanie Ferguson .
The authorized official title is Owner and has the following contact phone number (405) 562-2222.

The enumeration date for this NPI number is 11/23/2021 and was last updated on 11/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.