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Contact Information

AFFORDABLE DENTAL
1618 N 5TH ST STE 4
PONCA CITY, OK74601
 Phone: 580-765-0112
 Fax: 580-762-5644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AFFORDABLE DENTAL · (Female)

NPI # 1639601859
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2017
Last updated 03/28/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 5037
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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