Organization
RUSSELL E. COATNEY, D.D.S. , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL ERIC COATNEY D.D.S. (PRESIDENT/OWNER)
(918) 299-4477
Entity
Organization
Contact information
Practice address
110 S DATE AVE, JENKS, OK 74037-3742
(918) 299-4477
(918) 299-0827
Mailing address
110 S DATE AVE, JENKS, OK 74037-3742
(918) 299-4477
(918) 299-0827
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4686
OK
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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