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Contact Information

OKLAHOMA ENDODONTICS
1008 NW GRAND BLVD
SUITE A
OKLAHOMA CITY, OK73118
 Phone: 405-843-9330
 Fax: 405-848-4048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for OKLAHOMA ENDODONTICS

NPI # 1174607261
LBN Legal business name OKLAHOMA ENDODONTICS
Authorized official DAVID SHADID - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OK License # 458428
OK License # 512734
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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