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Contact Information

29TH STREET DENTAL CARE
2900 W GRAND AVE
CHICKASHA, OK73018-5112
 Phone: 405-222-0222
 Fax: 405-222-0210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 29TH STREET DENTAL CARE

NPI # 1912450842
LBN Legal business name 29TH STREET DENTAL CARE
Authorized official JOHN PHILLIPS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2016
Last updated 07/27/2016 - About 10 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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