# AFFORDABLE DENTURES & IMPLANTS - OKLAHOMA, PLLC

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

## Provider details

- **NPI number:** 1699791145
- **Authorized official:** HALEY WOOSTER (ENROLLMENT SPECIALIST)
- **Authorized official phone:** (712) 733-8551

## Contact information

- **Practice address:** 1139 E KENOSHA ST, BROKEN ARROW, OK 74012-2006
- **Practice address phone:** (918) 259-0239
- **Practice address fax:** (918) 259-0265
- **Mailing address:** 200 N BROADWAY ST, CHECOTAH, OK 74426-2432
- **Mailing address fax:** (918) 473-0346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3749 | OK | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 11/06/2023