ELK CREEK DENTAL CENTER, PLLC; NPI #1992541601

Contact Information

ELK CREEK DENTAL CENTER, PLLC

300 N GARRETT ST
ELK CITY, OK 73644

Phone: 580-225-1020
Fax: 580-303-7299
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for ELK CREEK DENTAL CENTER, PLLC

NPI Number	`1992541601`
LBN Legal business name	ELK CREEK DENTAL CENTER, PLLC
Authorized official	NATHANIEL TALLEY - (OWNER/ DENTIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/02/2024
Last updated	07/08/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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