| Russell E. Coatney, D.d.s. , P.c. | |
|
110 S Date Ave Jenks OK 74037-3742 | |
| (918) 299-4477 | |
| (918) 299-0827 |
| Full Name | Russell E. Coatney, D.d.s. , P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 S Date Ave, Jenks, Oklahoma |
| Authorized Official Name and Position | Russell Eric Coatney (PRESIDENT/OWNER) |
| Authorized Official Contact | 9182994477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell E. Coatney, D.d.s. , P.c. 110 S Date Ave Jenks OK 74037-3742 Ph: (918) 299-4477 | Russell E. Coatney, D.d.s. , P.c. 110 S Date Ave Jenks OK 74037-3742 Ph: (918) 299-4477 |
| NPI Number | 1003083593 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003083593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4686 (Oklahoma) | Primary |
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