# MIRANDA L. RULEFORD FAMILY DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1235548157
- **Authorized official:** MS. MIRANDA LOUISA RULEFORD DDS (OWNER)
- **Authorized official phone:** (918) 756-9595

## Contact information

- **Practice address:** 500 E 8TH ST, OKMULGEE, OK 74447
- **Practice address phone:** (918) 756-9595
- **Practice address fax:** (918) 756-7781
- **Mailing address:** 500 E 8TH ST, OKMULGEE, OK 74447
- **Mailing address phone:** (918) 756-9595
- **Mailing address fax:** (918) 756-7781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5880 | OK | Yes |

## Other

- **Enumeration date:** 08/05/2014
- **Last updated:** 04/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1366484438 | — | OK |
| 05 | — | 1558475392 | — | OK |