| Coalgate Dental Clinic Pc | |
|
405 W Clay Coalgate OK 74538 | |
| (580) 927-2331 | |
| (580) 927-2332 |
| Full Name | Coalgate Dental Clinic Pc |
|---|---|
| Speciality | Dentist |
| Location | 405 W Clay, Coalgate, Oklahoma |
| Authorized Official Name and Position | David A King (DENTIST PRESIDENT) |
| Authorized Official Contact | 5809272331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coalgate Dental Clinic Pc 405 W Clay Coalgate OK 74538 Ph: (580) 927-2331 | Coalgate Dental Clinic Pc 405 W Clay Coalgate OK 74538 Ph: (580) 927-2331 |
| NPI Number | 1972679074 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972679074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5382 (Oklahoma) | Primary |
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