# HERO DENTAL OF SOUTH OKLAHOMA CITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventure Dental Vision and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447897749
- **Authorized official:** SHAUN URBANOZO (CREDENTIALING MANAGER)
- **Authorized official phone:** (719) 576-1850

## Contact information

- **Practice address:** 825 N BROADWAY AVE STE 300, OKLAHOMA CITY, OK 73102-6012
- **Practice address phone:** (719) 576-1850
- **Mailing address:** 2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
- **Mailing address phone:** (719) 576-1850

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2019
- **Last updated:** 12/05/2019