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Contact Information

LIBERTY DENTAL, INC.
6 N. BROADWAY
CARNEGIE, OK73015
 Phone: 580-654-1008
 Fax: 580-654-2008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LIBERTY DENTAL, INC.

NPI Number 1497072094
LBN Legal business name LIBERTY DENTAL, INC.
Authorized official JAMIE CAMERON - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2010
Last updated 04/23/2010 - About 16 years ago
Identifiers
OK License # 5940
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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