Coweta Dental PLLC
Clinic/Center in Coweta, OK. Organization (NPI-2).
NPI number1629936331
StatusActive
Last updated in NPPESJan 12, 2026
Details
- NPI
- 1629936331
- Entity type
- Organization (NPI-2)
- Legal business name
- Coweta Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2026
- Certification date
- Jan 12, 2026
- Last updated
- Jan 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Coweta Dental Center (Doing Business As)
Practice location
29618 E State Highway 51Coweta, OK 74429-7727
Phone 918-486-9889
Mailing address
851 W I 35 Frontage Rd Ste 350Edmond, OK 73034-7472
Phone 405-237-9289 · Fax 405-669-8675
Authorized official
Kara Tam-Walts
Payer Relations Analyst
4052379289
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Other Clinic/Center providers in Coweta, OK
- Creek Nation Health SystemNPI 1144233453
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- Osu Center For Health SciencesNPI 1659998938
All 5 Clinic/Center providers in Coweta · All 191 providers in Coweta
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