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COFFEE CREEK PEDIATRIC DENTISTRY PLLC
NPI 1689331753
Dentist - Pediatric Dentistry in Edmond, OK

Active since November 23, 2021
2800 N KELLY AVE STE 200, EDMOND, OK 73003(405) 562-2222 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coffee Creek Pediatric Dentistry Pllc NPPES

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

COFFEE CREEK PEDIATRIC DENTISTRY PLLC (NPI 1689331753), doing business as Children's Dentistry Of Coffee Creek, is a healthcare organization registered as a pediatric dentistry in Edmond, Oklahoma and active in the NPI registry since November 2021. The organization lists Stephanie Ferguson, Owner, as its authorized official.

NPPES Registry Identity

NPI1689331753
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOFFEE CREEK PEDIATRIC DENTISTRY PLLC
Location Address2800 N KELLY AVE STE 200Edmond, OK 73003-3004
Mailing Address2800 N Kelly Ave Ste 200Edmond, OK 73003-3004 · (405) 562-2222
Phone(405) 562-2222
Organization SubpartNo
Authorized OfficialStephanie FergusonOwner · (405) 562-2222
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1689331753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2800 N KELLY AVE STE 200, Edmond, OK 73003
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Other Names 1

Doing Business AsChildren's Dentistry Of Coffee Creek

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BOBBY D. CHEATHAM,D.D.S.,PC
Dentist (Pediatric Dentistry)
2800 N KELLY AVE STE 200
EDMOND, OK 73003
Oklahoma County (405) 562-2222

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 Pediatric Dentistry PLLC's NPI number?

The NPI number for Coffee Creek Pediatric Dentistry PLLC is 1689331753. It was assigned to this organization in the NPPES registry on November 23, 2021. The provider is doing business as Children's Dentistry of Coffee Creek.

Where is Coffee Creek Pediatric Dentistry PLLC located?

Coffee Creek Pediatric Dentistry PLLC is located at 2800 N Kelly Ave Ste 200, Edmond, OK 73003. The listed phone number is (405) 562-2222.

What is Coffee Creek Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Coffee Creek Pediatric Dentistry PLLC was last updated on November 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.