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Contact Information

ANTLERS FAMILY DENTIST PC
107 NE F ST
ANTLERS, OK74523-2603
 Phone: 580-298-5581
 Fax: 580-298-3310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ANTLERS FAMILY DENTIST PC

NPI Number 1245365907
LBN Legal business name ANTLERS FAMILY DENTIST PC
Authorized official TWANA DUNCAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2007
Last updated 03/28/2013 - About 13 years ago
Identifiers
OK License # 5049
OK Medicaid 100846880A
OK Other 796050 UNITED CONCORDIA PPO
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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