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Contact Information

LEON D BRAGG SR, DDS
1321 NE 54TH ST
OKLAHOMA CITY, OK73111-6611
 Phone: 405-427-5309
 Fax: 405-530-7121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for LEON D BRAGG SR · (Male)

NPI # 1639186729
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 3897
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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