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Contact Information

ABSOLUTE SMILES FAMILY DENTISTRY
4800 E. HWY. 37
TUTTLE, OK73089
 Phone: 405-381-0900
 Fax: 405-381-0902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ABSOLUTE SMILES FAMILY DENTISTRY

NPI Number 1962702555
LBN Legal business name ABSOLUTE SMILES FAMILY DENTISTRY
Authorized official BRIAN CHASTAIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2010
Last updated 10/28/2010 - About 16 years ago
Identifiers
OK License # 5944
OK Medicaid 200115890A
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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