# MID-DEL DENTAL SOLUTIONS, P.C.

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

## Provider details

- **NPI number:** 1811164726
- **Authorized official:** DR. CHARLES L GOODWIN DDS (OWNER)
- **Authorized official phone:** (405) 670-3800

## Contact information

- **Practice address:** 4341 SE 15TH ST, DEL CITY, OK 73115-3001
- **Practice address phone:** (405) 670-3800
- **Practice address fax:** (405) 670-3803
- **Mailing address:** 4341 SE 15TH ST, DEL CITY, OK 73115-3001
- **Mailing address phone:** (405) 670-3800
- **Mailing address fax:** (405) 670-3803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3935 | OK | Yes |

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 05/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200108490-A | — | OK |