Dixieland Dental, Inc in Oklahoma City - General Practice

Dixieland Dental, Inc - NPI 1932360765

Dixieland Dental, Inc is a General Practice in Oklahoma City, Oklahoma. Dixieland Dental, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dixieland Dental, Inc is 1932360765. The last update date is 2008-06-24.

Dixieland Dental, Inc's current location address is 4117 Nw 122nd St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057514466 and fax number 4056080163. The mailing address for Dixieland Dental, Inc is 4117 Nw 122nd St, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dixieland Dental, Inc
Address 4117 Nw 122nd St, Oklahoma City, Oklahoma
Phone Number 4057514466
Fax Number 4056080163
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Shapard Katy
Telephone Number 4057514466

NPI Number Detail

NPI Number 1932360765
Provider Enumeration Date 2008-06-24
Last Updated Date 2008-06-24

Provider Mailing Address Detail

Address 4117 Nw 122nd St
City Oklahoma City
State Oklahoma (OK)
Post Code 731208869
Phone Number 4057514466
Fax Number 4056080163

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5733
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200068560A OK --

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FAQs about Dixieland Dental, Inc

What is the unique identification code assigned to Dixieland Dental, Inc by the Centers for Medicare & Medicaid Services?

The Dixieland Dental, Inc has been issued the NPI (National Provider Identifier) 1932360765. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Dixieland Dental, Inc's facilities are geographically located?

The facilities of Dixieland Dental, Inc are physically situated at the following location: 4117 Nw 122Nd St, Oklahoma City, OK, 731208869.

What is the area of specialization for Dixieland Dental, Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dixieland Dental, Inc is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When did Dixieland Dental, Inc receive its 1932360765 assignment?

The Dixieland Dental, Inc was assigned its 1932360765 on 2008-06-24, which is the date when this unique identifier was issued to the organization.

As of what date were the Dixieland Dental, Inc's details last updated?

The information pertaining to the Dixieland Dental, Inc, including its address, specialty, and other details, was most recently updated on 2008-06-24.

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