Coulson, Keith Dale
Coulson, Keith Dale is an individual health care provider with primary practice located at 1025 E Vandament Ave Suite 300, Yukon OK 73099-4910. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Coulson, Keith Dale can be contacted via phone (405) 354-1861.Contact Information
Primary practice address
1025 E Vandament Ave Suite 300
Yukon OK 73099-4910
Phone: (405) 354-1861
Fax: (405) 354-8738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4351 | Oklahoma |
Profile Details
| NPI number | 1770593758 |
|---|---|
| LBN Legal business name | Coulson, Keith Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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