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Contact Information

PREMIER DENTURES & IMPLANTS
LBN GREEN COUNTRY DENTURE CENTER
1824 S.E . WASHINGTON BLVD.
BARTLESVILLE, OK74006
 Phone: 918-331-2221
 Fax: 918-336-1052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PREMIER DENTURES & IMPLANTS

NPI # 1215080734
LBN Legal business name GREEN COUNTRY DENTURE CENTER
DBA Doing business as PREMIER DENTURES & IMPLANTS
Authorized official JOHN LARD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2007
Last updated 06/26/2012 - About 7 years ago
Identifiers
OK License # 5431
OK License # 5779
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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