# DENTURES, IMPLANTS, AND DENTISTRY OF OKLAHOMA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Redeemed Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154019925
- **Authorized official:** DR. JOHN FULLINGTON DDS (DENTIST)
- **Authorized official phone:** (405) 237-6453

## Contact information

- **Practice address:** 1730 SHEDECK PARKWAY, SUITES \#100 AND \#105, YUKON, OK 73099
- **Practice address phone:** (405) 237-6453
- **Mailing address:** 1730 SHEDECK PKWY STE 100, YUKON, OK 73099-6010
- **Mailing address phone:** (405) 237-6453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2023
- **Last updated:** 07/07/2023