# OKC DENTAL HEALTH ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OKC DENTAL HEALTH ASSOCIATES, P.C.
- **Other names:** MyDentist-Midtown Oral Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013337518
- **Legal business name:** OKC DENTAL HEALTH ASSOCIATES, P.C.
- **Authorized official:** HANNAH FISH (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-5699

## Contact information

- **Practice address:** 1420 S LEWIS AVE, TULSA, OK 74104-4641
- **Practice address phone:** (918) 492-1780
- **Mailing address:** 1420 S LEWIS AVE, TULSA, OK 74104-4641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2014
- **Last updated:** 04/27/2016