# OKLAHOMA ENDODONTICS

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

## Provider details

- **NPI number:** 1174607261
- **Authorized official:** DR. DAVID BRIAN SHADID DDS MSD PC (PARTNER)
- **Authorized official phone:** (405) 843-9330

## Contact information

- **Practice address:** 1008 NW GRAND BLVD, SUITE A, OKLAHOMA CITY, OK 73118
- **Practice address phone:** (405) 843-9330
- **Practice address fax:** (405) 848-4048
- **Mailing address:** 1008 NW GRAND BLVD, SUITE A, OKLAHOMA CITY, OK 73118
- **Mailing address phone:** (405) 843-9330
- **Mailing address fax:** (405) 848-4048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 458428 | OK | Yes |
| 1223E0200X | Endodontics | 512734 | OK | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020