Braxton Feller
Dentist, General Practice in Midwest City, OK. Individual provider (NPI-1).
NPI number1841982980
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1841982980
- Entity type
- Individual (NPI-1)
- Name
- Braxton Feller
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2023
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7917 | OK | Yes |
Practice location
7100 Se 15th StMidwest City, OK 73110-5234
Phone 405-241-9960
Mailing address
1001 Shadow LnLas Vegas, NV 89106-4124
Other practice locations
1001 Shadow Ln
Las Vegas, NV 89106-4124
Las Vegas, NV 89106-4124
Phone 702-406-4333
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All 54 General Practice Dentistry providers in Midwest City · All 1,676 providers in Midwest City
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