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Contact Information

KINGFISHER DENTAL PLLC
100 STARLITE DR
KINGFISHER, OK73750
 Phone: 405-375-5855
 Fax: 405-358-2946
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

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

NPI Number 1992849996
Status Active
Credentials
Entity Individual
Enumeration date 02/16/2007
Last updated 02/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 3767
  • OK Medicaid 200208490A
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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