# OKC DENTAL HEALTH ASSOCIATES, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1053731828
- **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:** 4420 W I 40 SERVICE RD, OKLAHOMA CITY, OK 73108-1896
- **Practice address phone:** (405) 948-8779
- **Mailing address:** 4420 W I 40 SERVICE RD, OKLAHOMA CITY, OK 73108-1896

## 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:** 04/21/2014
- **Last updated:** 04/27/2016