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DENTURES IMPLANTS AND DENTISTRY OF OKLAHOMA PLLC NPI 1154019925


NPI Information

NPI: 1154019925
Provider Name: DENTURES, IMPLANTS, AND DENTISTRY OF OKLAHOMA PLLC

Doing Business As: REDEEMED SMILES

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1730 SHEDECK PARKWAY
SUITES #100 AND #105
YUKON, OK
ZIP 73099
Phone: (405) 237-6453
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DENTURES, IMPLANTS, AND DENTISTRY OF OKLAHOMA PLLC is a dental clinic center in Yukon, OK. DENTURES, IMPLANTS, AND DENTISTRY OF OKLAHOMA PLLC NPI is 1154019925. The provider is registered as an organization entity type.
The provider Is Doing Business As Redeemed Smiles.

The provider's business location address is:

1730 SHEDECK PARKWAY
SUITES #100 AND #105
YUKON, OK
ZIP 73099
Phone: (405) 237-6453

The provider's authorized official is John Fullington .
The authorized official title is Dentist and has the following contact phone number (405) 237-6453.

The enumeration date for this NPI number is 4/28/2023 and was last updated on 7/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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