Organization · NPI-2
Affordable Dentures & Implants - Oklahoma City III, P.C.
Dentist, General Practice · Oklahoma City, OK
NPI number1760148803
StatusActive
Last updated in NPPESNov 12, 2021
Details
- NPI
- 1760148803
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures & Implants - Oklahoma City III, P.C.
- Organization subpart
- No
- Enumeration date
- Nov 12, 2021
- Certification date
- Nov 12, 2021
- Last updated
- Nov 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3627 Nw ExpresswayOklahoma City, OK 73112-4405
Phone 405-948-2637
Mailing address
3627 Nw ExpresswayOklahoma City, OK 73112-4405
Phone 405-948-2637
Authorized official
John Fullington
Owner
4059482637
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