# BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTER
- **Other names:** College of Dentistry Student Clinics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669520862
- **Legal business name:** BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTER
- **Authorized official:** LISA ASCH (ASSOCIATE DIRECTOR RESEARCH ADMIN)
- **Authorized official phone:** (405) 271-2090

## Contact information

- **Practice address:** 1201 N STONEWALL AVE RM 265, OKLAHOMA CITY, OK 73117-1214
- **Practice address phone:** (405) 271-4711
- **Practice address fax:** (405) 271-2922
- **Mailing address:** 1000 STANTON L YOUNG BLVD \# 121, OKLAHOMA CITY, OK 73117-1208
- **Mailing address phone:** (405) 271-2090
- **Mailing address fax:** (405) 271-8655

## Taxonomy

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

## Other

- **Enumeration date:** 01/07/2007
- **Last updated:** 08/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100749420A | — | OK |