NPI 1003083593

Russell E. Coatney, D.D.S. , P.C.

Organisation Dental Clinic/Center Jenks, OK

Practice location

Address: 110 S Date Ave, Jenks, OK 74037-3742
Phone: (918) 299-4477
Fax: (918) 299-0827

Authorised official

Name: Russell Eric Coatney
Title: President/Owner
Phone: (918) 299-4477

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 4686 (OK)

Other Clinic/Center providers in Oklahoma →

Registry record

NPI: 1003083593
Entity type: Organization
NPI issued: 13 May 2008
Record last updated: 13 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.