Individual provider · Type 1 NPI

Grace Coen

Dentist · Ellsworth Afb, SD

NPI number 1629779137 Active

Practice location

2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821

Call (605) 385-3657 Map

Mailing address

804 Park Ave Apt 304
Omaha, NE 68105-2170

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD11795 (OR)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1629779137

Grace Coen's National Provider Identifier is 1629779137, issued on Mar 13, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Ellsworth Afb, SD. The record was last updated on Nov 26, 2025.