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Contact Information

OWASSO PEDIATRIC DENTISTRY, PLLC
9455 N OWASSO EXPY STE H
OWASSO, OK74055-5457
 Phone: 918-998-0996
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for OWASSO PEDIATRIC DENTISTRY PLLC · (Female)

NPI Number 1750137907
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2024
Last updated 04/29/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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