# TRISTANNE SPOTTSWOOD, DMD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spottswood Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679960587
- **Authorized official:** TRISTANNE SPOTTSWOOD DMD (OWNER/DOCTOR)
- **Authorized official phone:** (405) 691-3399

## Contact information

- **Practice address:** 1512 SW 89TH ST, OKLAHOMA CITY, OK 73159-6307
- **Practice address phone:** (405) 691-3399
- **Mailing address:** 1512 SW 89TH ST, OKLAHOMA CITY, OK 73159-6307
- **Mailing address phone:** (405) 691-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5910 | OK | Yes |

## Other

- **Enumeration date:** 04/17/2015
- **Last updated:** 04/17/2015