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Contact Information

ADVANTAGE DENTAL PLLC
11907 S MEMORIAL DR STE B
BIXBY, OK74008-2045
 Phone: 918-394-0303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL PLLC · (Female)

NPI Number 1265609192
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2008
Last updated 12/10/2018 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 5870
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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