OrganizationActive
Coffee Creek Pediatric Dentistry PLLC
NPI 1689331753 · Pediatric Dentistry · Edmond, OK
Coffee Creek Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Edmond, OK (NPI 1689331753).
Provider details
- NPI number
- 1689331753
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephanie Ferguson, Owner(405) 562-2222
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
2800 N Kelly Ave Ste 200
Edmond, OK 73003-3004
Phone: (405) 562-2222
Street-level locationGet directions
Mailing address
2800 N Kelly Ave Ste 200
Edmond, OK 73003-3004
Other names (DBA / former)
- Doing business as
- Children'S Dentistry of Coffee Creek
Registry dates
- Enumerated
- 2021-11-23
- Last updated
- 2021-11-23
- Certified
- 2021-11-23
Frequently asked questions
- What is Coffee Creek Pediatric Dentistry PLLC's NPI number?
- Coffee Creek Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1689331753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coffee Creek Pediatric Dentistry PLLC?
- Coffee Creek Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Coffee Creek Pediatric Dentistry PLLC located?
- Coffee Creek Pediatric Dentistry PLLC's practice location on file with NPPES is 2800 N Kelly Ave Ste 200, Edmond, OK 73003-3004.
- What is Coffee Creek Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Coffee Creek Pediatric Dentistry PLLC is (405) 562-2222.
- Who is the authorized official for Coffee Creek Pediatric Dentistry PLLC?
- The authorized official listed on Coffee Creek Pediatric Dentistry PLLC's NPPES record is Stephanie Ferguson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coffee Creek Pediatric Dentistry PLLC's NPI active?
- Yes — Coffee Creek Pediatric Dentistry PLLC's NPI (1689331753) is active in the NPPES registry as of the last update on 2021-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.