PREMIERE FAMILY DENTISTRY OF TAHLEQUAH PLLC NPI 1780340513

NPI Information

NPI: 1780340513
Provider Name: PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1205 E ROSS BYP
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 456-2555
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PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC is a dental clinic center in Tahlequah, OK. PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC NPI is 1780340513. The provider is registered as an organization entity type.

The provider's business location address is:

1205 E ROSS BYP
TAHLEQUAH, OK
ZIP 74464-188
Phone: (918) 456-2555
Fax: (918) 456-2444

The provider's authorized official is Mark Smith .
The authorized official title is Senior Manager and has the following contact phone number (918) 456-2555.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/16/2021.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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