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Active NPI 1003074782 Organization (Entity Type 2)

Brian D. Coerver, Dds

Clinic/Center - Dental • Ada, OK

About Brian D. Coerver, Dds NPI 1003074782 Summary

Brian D. Coerver, Dds is a verified healthcare organization specializing in Clinic/Center - Dental operating in Ada, OK. Located at 1401 ARLINGTON ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1003074782.

Administrative operations and authorized compliance are overseen by Brian Coerver (Dds).

Facility Location & Contact Primary Location

Facility Address

1401 Arlington St

Ada, OK 748202636

Telephone 5803324872

Fax 5804361971

Authorized Official Information

Authorized Contact Name

DR. Brian Coerver , DDS

Title / Role

Dds

Official Telephone

5803324872

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 29, 2008

Registered at 1401 ARLINGTON ST, ADA, OK 748202636 (Tel: 5803324872)

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Updated Business Mailing Address May 29, 2008

Registered at 1401 ARLINGTON ST, ADA, OK 748202636 (Tel: 5803324872)

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Organization / Clinic Name Updated May 29, 2008

Operating as BRIAN D. COERVER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Clinic/Center (License #4346 in OK)

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Initial NPI Registration & Enumeration May 29, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1003074782

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: May 29, 2008

Last Update: May 29, 2008

Update or Correct Listing

Mailing Address

1401 Arlington St

Ada, OK 748202636

Phone: 5803324872

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.