NPI 1003074782

Brian D. Coerver, DDS

Organisation Dental Clinic/Center Ada, OK

Practice location

Address: 1401 Arlington St, Ada, OK 74820-2636
Phone: (580) 332-4872
Fax: (580) 436-1971

Authorised official

Name: Brian Damian Coerver
Title: DDS
Phone: (580) 332-4872

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 4346 (OK)

Other Clinic/Center providers in Oklahoma →

Registry record

NPI: 1003074782
Entity type: Organization
NPI issued: 29 May 2008
Record last updated: 29 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.