# AULD FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104154624
- **Authorized official:** DR. DOUGLAS AULD DDS (OWNER)
- **Authorized official phone:** (918) 423-0200

## Contact information

- **Practice address:** 215 N 6TH ST, MCALESTER, OK 74501-4737
- **Practice address phone:** (918) 423-0200
- **Practice address fax:** (918) 423-6940
- **Mailing address:** 215 N 6TH ST, MCALESTER, OK 74501-4737
- **Mailing address phone:** (918) 423-0200
- **Mailing address fax:** (918) 423-6940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4337 | OK | Yes |
| 122300000X | Dentist | 6096 | OK | — |

## Other

- **Enumeration date:** 11/20/2009
- **Last updated:** 04/16/2020
