# SDPOKC, PLLC

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

## Provider details

- **NPI number:** 1245903053
- **Authorized official:** SARA BROWN (CREDENTIALING MANAGER)
- **Authorized official phone:** (918) 998-0996

## Contact information

- **Practice address:** 3613 NW 56TH ST STE 105, OKLAHOMA CITY, OK 73112-4520
- **Practice address phone:** (405) 946-2455
- **Mailing address:** 400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
- **Mailing address phone:** (918) 998-0996

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 07/28/2021