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Contact Information

ADOLPH FAMILY DENTISTRY INC
112 N GRAND
OKMULGEE, OK74447
 Phone: 918-756-0270
 Fax: 918-756-0283
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ADOLPH FAMILY DENTISTRY INC

NPI Number 1164535183
LBN Legal business name ADOLPH FAMILY DENTISTRY INC
Authorized official GARY ADOLPH - (DOCTOR DENTAL SURGERY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OK License # 4862
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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