FAIRFAX DENTAL OFFICE PLLC; NPI #1992536478

Contact Information

FAIRFAX DENTAL OFFICE PLLC

158 N 2ND ST
FAIRFAX, OK 74637

Phone: 918-642-3400
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Student Health	261QS1000X
Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for FAIRFAX DENTAL OFFICE PLLC

NPI #	`1992536478`
LBN Legal business name	FAIRFAX DENTAL OFFICE PLLC
Authorized official	ZANE MILLS - (DENTIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/08/2024
Last updated	11/26/2024 - 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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