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Coffee Creek Pediatric Dentistry Pllc
Pediatric Dentist in Edmond, Oklahoma
NPI 1689331753

Coffee Creek Pediatric Dentistry Pllc is a Pediatric Dentist based in Edmond, OK and is specialized in Pediatric Dentistry. Coffee Creek Pediatric Dentistry Pllc practices in Edmond, OK. The NPI Number for Coffee Creek Pediatric Dentistry Pllc is 1689331753 and holds a License No. (Oklahoma).

The current practice location address for Coffee Creek Pediatric Dentistry Pllc is 2800 N Kelly Ave Ste 200, Edmond, OK and can be reached out via phone at 405-562-2222.

Location: 2800 N Kelly Ave Ste 200, Edmond, OK, 73003-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689331753
Provider Name
Coffee Creek Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
2800 N Kelly Ave Ste 200, Edmond, OK, 73003-3004
Phone Number
405-562-2222
Fax Number
Provider Enumeration Date
11/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2800 N Kelly Ave Ste 200
City
Edmond
State
Oklahoma
Zip
73003-3004
Phone Number
405-562-2222
Fax Number
person
Provider Business Mailing Address Details
Address
2800 N Kelly Ave Ste 200
City
Edmond
State
Oklahoma
Zip
73003-3004
Phone Number
405-562-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
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.
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person
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NPI 1568567493
Pediatric Dentist
2800 North Kelly Avenue,
EDMOND, OK
73003-3004
405-562-2222
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