# RUSSELL E. COATNEY, D.D.S. , P.C.

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

## Provider details

- **NPI number:** 1003083593
- **Authorized official:** DR. RUSSELL ERIC COATNEY D.D.S. (PRESIDENT/OWNER)
- **Authorized official phone:** (918) 299-4477

## Contact information

- **Practice address:** 110 S DATE AVE, JENKS, OK 74037-3742
- **Practice address phone:** (918) 299-4477
- **Practice address fax:** (918) 299-0827
- **Mailing address:** 110 S DATE AVE, JENKS, OK 74037-3742
- **Mailing address phone:** (918) 299-4477
- **Mailing address fax:** (918) 299-0827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4686 | OK | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 05/13/2008