Organization · NPI-2
Aasdg PLLC
Dentist, General Practice · Oklahoma City, OK
NPI number1467180182
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1467180182
- Entity type
- Organization (NPI-2)
- Legal business name
- Aasdg PLLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2022
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Other names
- All About Smiles (Doing Business As)
- Chisholm Creek Dental (Doing Business As)
Practice location
13400 N Pennsylvania AveOklahoma City, OK 73120-9007
Phone 405-418-0888
Mailing address
13420 N Pennsylvania AveOklahoma City, OK 73120-9007
Phone 405-418-0888
Authorized official
Joshua Brasher
Owner
4054746362
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