# OKDI PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 405 Implants and Dentures
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326711094
- **Authorized official:** AUSTIN BRASHER DDS (DENTIST)
- **Authorized official phone:** (405) 474-6361

## Contact information

- **Practice address:** 10001 S PENNSYLVANIA AVE \# M240, OKLAHOMA CITY, OK 73159-6923
- **Practice address phone:** (405) 252-1508
- **Mailing address:** 1705 GEETA RD, EDMOND, OK 73003-3707
- **Mailing address phone:** (405) 474-6361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

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