Organization · NPI-2

Andrew Minnigh, DDS, P.L.L.C

Dentist, General Practice · Shawnee, OK

NPI number1205203189
StatusActive
Last updated in NPPESAug 27, 2015

Details

NPI
1205203189
Entity type
Organization (NPI-2)
Legal business name
Andrew Minnigh, DDS, P.L.L.C
Organization subpart
No
Enumeration date
Aug 27, 2015
Last updated
Aug 27, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6502OKYes

Practice location

1414 N Kennedy Ave
Sutie 102
Shawnee, OK 74801-4700

Phone 405-273-3270 · Fax 405-273-3467

Mailing address

1414 N Kennedy Ave
Sutie 102
Shawnee, OK 74801-4700

Phone 405-273-3270 · Fax 405-273-3467

Authorized official

Christopher Andrew Minnigh
Owner
4052733270

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