Coffee Creek Pediatric Dentistry Pllc - Dental Clinic in Edmond, OK

Coffee Creek Pediatric Dentistry Pllc is a dental clinic (Dentist - Pediatric Dentistry) in Edmond, Oklahoma. The current practice location for Coffee Creek Pediatric Dentistry Pllc is 2800 N Kelly Ave Ste 200, Edmond, Oklahoma. For appointments, you can reach them via phone at (405) 562-2222. The mailing address for Coffee Creek Pediatric Dentistry Pllc is 2800 N Kelly Ave Ste 200, Edmond, Oklahoma and phone number is (405) 562-2222.

Coffee Creek Pediatric Dentistry Pllc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1689331753. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (405) 562-2222.

Contact Information

Coffee Creek Pediatric Dentistry Pllc
2800 N Kelly Ave Ste 200
Edmond
OK 73003-3004
(405) 562-2222
Not Available

Dental Care Clinic Profile

Full NameCoffee Creek Pediatric Dentistry Pllc
SpecialityDentist - Pediatric Dentistry
Location2800 N Kelly Ave Ste 200, Edmond, Oklahoma
Authorized Official Name and PositionStephanie Ferguson (OWNER)
Authorized Official Contact4055622222
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Coffee Creek Pediatric Dentistry Pllc
2800 N Kelly Ave Ste 200
Edmond
OK 73003-3004

Ph: (405) 562-2222
Coffee Creek Pediatric Dentistry Pllc
2800 N Kelly Ave Ste 200
Edmond
OK 73003-3004

Ph: (405) 562-2222

NPI Details:

NPI Number1689331753
Provider Enumeration Date11/23/2021
Last Update Date11/23/2021

Medical Identifiers

Medical identifiers for Coffee Creek Pediatric Dentistry Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689331753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry (* (Not Available))Primary

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