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Contact Information

59TH STREET DENTAL HEALTH CENTER, P.C.
309 SW 59TH ST STE 105
OKLAHOMA CITY, OK73109-8322
 Phone: 405-631-2700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 59TH STREET DENTAL HEALTH CENTER, P.C.

NPI Number 1306257696
LBN Legal business name 59TH STREET DENTAL HEALTH CENTER, P.C.
Authorized official TRAVIS BOYER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2014
Last updated 05/08/2014 - About 12 years ago
Identifiers
OK License # 6574
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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