2j Dental Edge Of Norman PLLC
Dentist in Norman, OK. Organization (NPI-2).
NPI number1578036562
StatusActive
Last updated in NPPESJan 2, 2019
Details
- NPI
- 1578036562
- Entity type
- Organization (NPI-2)
- Legal business name
- 2j Dental Edge Of Norman PLLC
- Organization subpart
- No
- Enumeration date
- Jan 2, 2019
- Last updated
- Jan 2, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Dental Edge Of Norman (Doing Business As)
Practice location
2400 12th Ave Ne Ste 140Norman, OK 73071-6841
Phone 405-310-5285
Mailing address
3901 E Covell RdEdmond, OK 73034-6909
Phone 405-474-6362
Authorized official
Joshua Brasher
President
4054746362
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