# AFFORDABLE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY DENTISTRY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639601859
- **Legal business name:** FAMILY DENTISTRY
- **Authorized official:** DR. QUINT WHITEFIELD DDS (OWNER/DENTIST)
- **Authorized official phone:** (580) 762-5624

## Contact information

- **Practice address:** 1618 N 5TH ST STE 4, PONCA CITY, OK 74601
- **Practice address phone:** (580) 765-0112
- **Practice address fax:** (580) 762-5644
- **Mailing address:** 1618 N 5TH ST STE 4, PONCA CITY, OK 74601-2764
- **Mailing address phone:** (580) 765-0112
- **Mailing address fax:** (580) 762-5644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5037 | OK | Yes |

## Other

- **Enumeration date:** 03/28/2017
- **Last updated:** 03/28/2017