OrganizationActive
Coffee Creek Family Dentistry
NPI 1629543251 · Dental Clinic/Center · Edmond, OK
Coffee Creek Family Dentistry is a Dental Clinic/Center organization in Edmond, OK (NPI 1629543251).
Provider details
- NPI number
- 1629543251
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mack Rudd, Owner(405) 844-6333
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2600 Tayler St
Edmond, OK 73003-2134
Phone: (405) 844-6333
Fax: (405) 844-6331
Approximate (ZIP-level) locationGet directions
Mailing address
2600 Tayler St
Edmond, OK 73003-2134
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Frequently asked questions
- What is Coffee Creek Family Dentistry's NPI number?
- Coffee Creek Family Dentistry's National Provider Identifier (NPI) is 1629543251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coffee Creek Family Dentistry?
- Coffee Creek Family Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coffee Creek Family Dentistry located?
- Coffee Creek Family Dentistry's practice location on file with NPPES is 2600 Tayler St, Edmond, OK 73003-2134.
- What is Coffee Creek Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Coffee Creek Family Dentistry is (405) 844-6333.
- Who is the authorized official for Coffee Creek Family Dentistry?
- The authorized official listed on Coffee Creek Family Dentistry's NPPES record is Mack Rudd, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coffee Creek Family Dentistry's NPI active?
- Yes — Coffee Creek Family Dentistry's NPI (1629543251) is active in the NPPES registry as of the last update on 2021-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.