Mariana Nicoleta Coconu, D.D.S.
Individual provider Active NPI General Practice Dentistry · Guymon, OK
NPI 1992145221 · NPPES record last updated Jul 1, 2013
Key facts
- NPI
- 1992145221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6474 (OK)
- Practice address
- 305 Northridge Cir
Guymon, OK 73942-2735 - Phone
- (405) 921-7598
- NPI assigned
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6474 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coconu Family Dentistry PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6474 | OK | Yes |
Addresses
Primary practice location
305 Northridge Cir
Guymon, OK 73942-2735
Mailing address
1808 SW 24TH St
Moore, OK 73170-7476
Phone (405) 921-7598
Other providers in Guymon, OK
- Christine J Hurd
- Sam L Christopher
- City of Guymon
- Judy Clemans
- Coconu Family Dentistry PLLC
- Tiffany Ashley Cook
- Kristi L. Cooper-Johnson
- Ryan Corpuz
- Amanda Jean Crawford
- Candace Cullop
All providers in Guymon, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.