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COFFEE CREEK FAMILY DENTISTRY
NPI 1629543251
Clinic/Center - Dental in Edmond, OK

Active since October 10, 2018
2600 TAYLER ST, EDMOND, OK 73003(405) 844-6333(405) 844-6331 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2021, Oct 10, 2018 (2 updates tracked since 2018).

About Coffee Creek Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COFFEE CREEK FAMILY DENTISTRY (NPI 1629543251) is a healthcare organization registered as a dental in Edmond, Oklahoma and active in the NPI registry since October 2018. The organization lists Mack T. Rudd, Owner, as its authorized official.

NPPES Registry Identity

NPI1629543251
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOFFEE CREEK FAMILY DENTISTRY
Location Address2600 TAYLER STEdmond, OK 73003-2134
Mailing Address2600 Tayler StEdmond, OK 73003-2134 · (405) 844-6333 · Fax (405) 844-6331
Phone(405) 844-6333
Fax(405) 844-6331
Organization SubpartNo
Authorized OfficialMack T. RuddOwner · (405) 844-6333
Enumeration DateOctober 10, 2018
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
✔ NPI 1629543251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2600 TAYLER ST, Edmond, OK 73003
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INA SUKUT DDS
Dentist
2600 TAYLER ST
EDMOND, OK 73003
Oklahoma County (405) 844-6333
HALLY DENTAL LLC
Clinic/Center (Dental)
2600 TAYLER ST
EDMOND, OK 73003
Oklahoma County (405) 844-6333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coffee Creek Family Dentistry's NPI number?

The NPI number for Coffee Creek Family Dentistry is 1629543251. It was assigned to this organization in the NPPES registry on October 10, 2018.

Where is Coffee Creek Family Dentistry located?

Coffee Creek Family Dentistry is located at 2600 Tayler St, Edmond, OK 73003. The listed phone number is (405) 844-6333.

What is Coffee Creek Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Coffee Creek Family Dentistry was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.