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Contact Information

LORI SMITH DDS INC PC
13 SOUTH COOYYAH
PRYOR CREEK, OK74361
 Phone: 918-825-7645
 Fax: 918-825-7646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LORI SMITH DDS INC PC

NPI Number 1205935368
LBN Legal business name LORI SMITH DDS INC PC
Authorized official LORI SMITH - (OWNER PRESIDENT DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2006
Last updated 04/24/2008 - About 18 years ago
Identifiers
OK License # 5334
OK Medicaid 100150130A
OK Other 455716222001 BLUE CROSS SHIELD OF OK
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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