# BRIAN D. COERVER, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003074782
- **Authorized official:** DR. BRIAN DAMIAN COERVER DDS (DDS)
- **Authorized official phone:** (580) 332-4872

## Contact information

- **Practice address:** 1401 ARLINGTON ST, ADA, OK 74820-2636
- **Practice address phone:** (580) 332-4872
- **Practice address fax:** (580) 436-1971
- **Mailing address:** 1401 ARLINGTON ST, ADA, OK 74820-2636
- **Mailing address phone:** (580) 332-4872
- **Mailing address fax:** (580) 436-1971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4346 | OK | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 05/29/2008