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Contact Information

AFFORDABLE DENTAL
1618 N 5TH ST STE 4
PONCA CITY, OK74601
 Phone: 580-765-0112
 Fax: 580-762-5644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AFFORDABLE DENTAL

NPI Number 1639601859
LBN Legal business name AFFORDABLE DENTAL
Authorized official QUINT WHITEFIELD - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/28/2017
Last updated 03/28/2017 - About 9 years ago
Identifiers
OK License # 5037
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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