OrganizationActive
Coffee Creek Family Dentistry
NPI 1629543251 · Dental Clinic/Center · Edmond, OK
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
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.