Provider Demographics
NPI:1508269994
Name:BAILEY SCHNEBEL COLEMAN DDS, PLLC
Entity Type:Organization
Organization Name:BAILEY SCHNEBEL COLEMAN DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BAILEY
Authorized Official - Middle Name:SCHNEBEL
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-249-6031
Mailing Address - Street 1:1112 N WALKER AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2614
Mailing Address - Country:US
Mailing Address - Phone:405-606-6500
Mailing Address - Fax:
Practice Address - Street 1:1112 N WALKER AVE STE 103
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2614
Practice Address - Country:US
Practice Address - Phone:405-606-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty