Organization
COFFEE CREEK PEDIATRIC DENTISTRY PLLC
Active
Other names
Children's Dentistry of Coffee Creek
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE FERGUSON DDS (OWNER)
(405) 562-2222
Entity
Organization
Contact information
Practice address
2800 N KELLY AVE STE 200, EDMOND, OK 73003-3004
(405) 562-2222
Mailing address
2800 N KELLY AVE STE 200, EDMOND, OK 73003-3004
(405) 562-2222
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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