Organization · Type 2 NPI

Coffee Creek Pediatric Dentistry PLLC

Pediatric Dentistry · Edmond, OK

NPI number 1689331753 Active

Practice location

2800 N Kelly Ave Ste 200
Edmond, OK 73003-3004

Call (405) 562-2222 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: 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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About NPI 1689331753

Coffee Creek Pediatric Dentistry PLLC's National Provider Identifier is 1689331753, issued on Nov 23, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Edmond, OK. The record was last updated on Nov 23, 2021.