MEDICARE: BAILEY SCHNEBEL COLEMAN DDS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1508269994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAILEY SCHNEBEL COLEMAN DDS, PLLC

Provider Business Mailing Address
First Line	:	1112 N WALKER AVE STE 103
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73103-2614
Country	:	US
Telephone Number	:	405-606-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 N WALKER AVE STE 103
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73103-2614
Country	:	US
Telephone Number	:	405-606-6500
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. BAILEY SCHNEBEL COLEMAN
Credential	:	DDS
Telephone Number	:	405-249-6031

Provider Enumeration Date	:	09/30/2014
Last Update Date	:	09/30/2014

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