# REDBUD DENTAL MIDWEST CITY

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

## Provider details

- **NPI number:** 1225417207
- **Authorized official:** DR. ADAM C BREWER D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (405) 888-5379

## Contact information

- **Practice address:** 101 N DOUGLAS BLVD, STE T, MIDWEST CITY, OK 73130-3329
- **Practice address phone:** (405) 888-5379
- **Mailing address:** 101 N DOUGLAS BLVD, STE T, MIDWEST CITY, OK 73130-3329
- **Mailing address phone:** (405) 888-5379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 1223G0001X | OK | Yes |

## Other

- **Enumeration date:** 05/25/2015
- **Last updated:** 05/25/2015