# IOWA TRIBE OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IOWA TRIBE OF OKLAHOMA
- **Other names:** Bah-Kho-Je Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295660074
- **Legal business name:** IOWA TRIBE OF OKLAHOMA
- **Authorized official:** ANGELA DAWN DAUGHERTY (DIRECTOR OF HEALTH)
- **Authorized official phone:** (405) 547-2473

## Contact information

- **Practice address:** 509 E HIGHWAY 33, PERKINS, OK 74059-4129
- **Practice address phone:** (405) 547-2473
- **Practice address fax:** (405) 547-2473
- **Mailing address:** 509 E HIGHWAY 33, PERKINS, OK 74059-4129
- **Mailing address phone:** (405) 547-2473
- **Mailing address fax:** (405) 547-2473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223E0200X | Endodontics | — | — | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | — | — |
| 126900000X | Dental Laboratory Technician | — | — | — |

## Other

- **Enumeration date:** 06/15/2026
- **Last updated:** 06/15/2026
