Affordable Dentures & Implants - Oklahoma, Pllc in Broken Arrow - Dentist
Affordable Dentures & Implants - Oklahoma, Pllc - NPI 1699791145
Affordable Dentures & Implants - Oklahoma, Pllc is a Dentist in Broken Arrow, Oklahoma. Affordable Dentures & Implants - Oklahoma, Pllc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Affordable Dentures & Implants - Oklahoma, Pllc is 1699791145. The last update date is 2023-11-06.
Affordable Dentures & Implants - Oklahoma, Pllc's current location address is 1139 E Kenosha St, Broken Arrow, Oklahoma. You can contact this provider via phone number 9182590239 and fax number 9182590265. The mailing address for Affordable Dentures & Implants - Oklahoma, Pllc is 1139 E Kenosha St, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Affordable Dentures & Implants - Oklahoma, Pllc |
|---|---|
| Address | 1139 E Kenosha St, Broken Arrow, Oklahoma |
| Phone Number | 9182590239 |
| Fax Number | 9182590265 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ENROLLMENT |
|---|---|
| Authorized Official Name | Wooster Haley |
| Telephone Number | 7127338551 |
NPI Number Detail
| NPI Number | 1699791145 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2023-11-06 |
Provider Mailing Address Detail
| Address | 1139 E Kenosha St |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740122006 |
| Phone Number | 9182590239 |
| Fax Number | 9182590265 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3749 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Affordable Dentures & Implants - Oklahoma, Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Affordable Dentures & Implants - Oklahoma, Pllc has been assigned the NPI (National Provider Identifier) 1699791145. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Affordable Dentures & Implants - Oklahoma, Pllc is physically located?
The Affordable Dentures & Implants - Oklahoma, Pllc is physically situated at the following address: 1139 E Kenosha St, Broken Arrow, OK, 740122006.
What is the Affordable Dentures & Implants - Oklahoma, Pllc's specialty and taxonomy code?
The Affordable Dentures & Implants - Oklahoma, Pllc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699791145 to Affordable Dentures & Implants - Oklahoma, Pllc?
The Centers for Medicare & Medicaid Services assigned the 1699791145 to Affordable Dentures & Implants - Oklahoma, Pllc on 2006-07-15.
As of what date were the details pertaining to Affordable Dentures & Implants - Oklahoma, Pllc last refreshed?
The information related to the Affordable Dentures & Implants - Oklahoma, Pllc, including its address, specialty, and other relevant details, was last updated on 2023-11-06.