# SMART SINUS OK, LLC

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

## Provider details

- **NPI number:** 1366814121
- **Authorized official:** BOSE OSHIN (BILLING MANAGER)
- **Authorized official phone:** (847) 278-1885

## Contact information

- **Practice address:** 13908 QUAILBROOK DR, QUAILBROOK BULDG C, OKLAHOMA CITY, OK 73134-1718
- **Practice address phone:** (405) 479-8625
- **Practice address fax:** (405) 479-8627
- **Mailing address:** 13908 QUAILBROOK DR, QUAILBROOK MEDICAL CENTER BLDG C, OKLAHOMA CITY, OK 73134-1718
- **Mailing address phone:** (405) 479-8625
- **Mailing address fax:** (405) 479-8627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0602X | Otolaryngic Allergy Physician | — | NULL | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 03612239 | IL | Yes |

## Other

- **Enumeration date:** 10/20/2015
- **Last updated:** 02/15/2017