# NORTHERN OKLAHOMA DENTAL ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1205370194
- **Authorized official:** APRIL VIER (COO)
- **Authorized official phone:** (918) 399-3550

## Contact information

- **Practice address:** 427 W DOOLIN AVE, BLACKWELL, OK 74631
- **Practice address phone:** (580) 670-9100
- **Mailing address:** PO BOX 712, DRUMRIGHT, OK 74030-0712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5939 | OK | Yes |

## Other

- **Enumeration date:** 12/12/2016
- **Last updated:** 12/12/2016