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Contact Information

ADVANTAGE DENTAL PLLC
11907 S MEMORIAL DR STE B
BIXBY, OK74008-2045
 Phone: 918-394-0303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL PLLC

NPI # 1265609192
LBN Legal business name ADVANTAGE DENTAL PLLC
Authorized official JASON KNAPP - (OWNER/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2008
Last updated 12/10/2018 - About 7 years ago
Identifiers
OK License # 5870
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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