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SOUTH SOONER DENTAL PARTNERS NPI 1316458383


NPI Information

NPI: 1316458383
Provider Name: SOUTH SOONER DENTAL PARTNERS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1060 SW 4TH ST STE 200
MOORE, OK
ZIP 73160
Phone: (405) 384-7071
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SOUTH SOONER DENTAL PARTNERS is a general practice dentist in Moore, OK. The provider is 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. SOUTH SOONER DENTAL PARTNERS NPI is 1316458383. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1060 SW 4TH ST STE 200
MOORE, OK
ZIP 73160
Phone: (405) 384-7071

The provider's authorized official is Tanner Prescott .
The authorized official title is Doctor and has the following contact phone number (405) 384-7071.

The enumeration date for this NPI number is 10/18/2017 and was last updated on 9/7/2018.


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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11629595046OTHERDOCTOR NPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.