# COALGATE DENTAL CLINIC PC

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

## Provider details

- **NPI number:** 1972679074
- **Authorized official:** DR. DAVID A KING DDS (DENTIST PRESIDENT)
- **Authorized official phone:** (580) 927-2331

## Contact information

- **Practice address:** 405 W CLAY, COALGATE, OK 74538
- **Practice address phone:** (580) 927-2331
- **Practice address fax:** (580) 927-2332
- **Mailing address:** 405 W CLAY, COALGATE, OK 74538
- **Mailing address phone:** (580) 927-2331
- **Mailing address fax:** (580) 927-2332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5382 | OK | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020