Roy Maddox DDS PC
Dentist, General Practice in Bixby, OK. Organization (NPI-2).
NPI number1720165616
StatusActive
Last updated in NPPESJul 24, 2008
Details
- NPI
- 1720165616
- Entity type
- Organization (NPI-2)
- Legal business name
- Roy Maddox DDS PC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jul 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4417 | OK | Yes |
Practice location
13000 South Memorial DriveBixby, OK 74008
Phone 918-369-1202
Mailing address
13000 South Memorial DriveBixby, OK 74008
Phone 918-369-1202
Authorized official
Roy Maddox
Owner/President
9183691202
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