Individual
DR. REGGIE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
503 N 14TH ST, PONCA CITY, OK 74601-4655
(580) 749-8989
Mailing address
PO BOX 18941, OKLAHOMA CITY, OK 73154-0941
(405) 476-2265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6955
OK
Other
Enumeration date
10/13/2017
Last updated
10/27/2024
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