# PARKWAY DENTAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkway Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164936282
- **Authorized official:** AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (214) 702-0708

## Contact information

- **Practice address:** 3727 NW 63RD ST STE 107, OKLAHOMA CITY, OK 73116-1923
- **Practice address phone:** (405) 810-8995
- **Mailing address:** 3727 NW 63RD ST STE 107, OKLAHOMA CITY, OK 73116-1923

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2017
- **Last updated:** 05/09/2023