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Contact Information

CRESCENT DENTAL GROUP PLLC
120 N GRAND
CRESCENT, OK73028
 Phone: 405-969-3969
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CRESCENT DENTAL GROUP PLLC

NPI # 1578024774
LBN Legal business name CRESCENT DENTAL GROUP PLLC
Authorized official JOSHUA BRASHER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2019
Last updated 12/12/2019 - About 6 years ago
Identifiers n/a
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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