Dr. Nicholas Busby, DDS
Dentist, Dental Public Health in Okmulgee, OK. Individual provider (NPI-1).
NPI number1164097747
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1164097747
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas Busby
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2021
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | 7414 | OK | Yes |
| 1223G0001X | Dentist, General Practice | 7414 | OK |
Practice location
1313 E 20th StOkmulgee, OK 74447-6303
Phone 918-591-5721
Mailing address
1313 E 20th StOkmulgee, OK 74447-6303
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