Okc Dental Health Associates, P.C.
Dentist, General Practice in Shawnee, OK. Organization (NPI-2).
NPI number1154741007
StatusActive
Last updated in NPPESApr 27, 2016
Details
- NPI
- 1154741007
- Entity type
- Organization (NPI-2)
- Legal business name
- Okc Dental Health Associates, P.C.
- Organization subpart
- Yes
- Enumeration date
- Apr 18, 2014
- Last updated
- Apr 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Mydentist-Shawnee (Doing Business As)
Practice location
19 W Interstate PkwyShawnee, OK 74804-1331
Phone 405-275-0675
Mailing address
19 W Interstate PkwyShawnee, OK 74804-1331
Authorized official
Hannah Fish
Credentialing Coordinator
2175405699
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