# SOUTHPOINTE FAMILY DENTISTRY PLLC DBA WESTMOORE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1437647831
- **Authorized official:** DR. MACK TIMOTHY RUDD DDS (OWNER)
- **Authorized official phone:** (405) 844-6333

## Contact information

- **Practice address:** 12208 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5914
- **Practice address phone:** (405) 692-5551
- **Practice address fax:** (844) 255-9174
- **Mailing address:** 12208 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5914
- **Mailing address phone:** (405) 692-5551
- **Mailing address fax:** (405) 692-5558

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2018
- **Last updated:** 01/20/2021