Organization · Type 2 NPI

Coweta Dental PLLC

Clinic/Center · Coweta, OK

NPI number 1629936331 Active

Practice location

29618 E State Highway 51
Coweta, OK 74429-7727

Mailing address

851 W I 35 Frontage Rd Ste 350
Edmond, OK 73034-7472

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1629936331

Coweta Dental PLLC's National Provider Identifier is 1629936331, issued on Jan 12, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Coweta, OK. The record was last updated on Jan 12, 2026.