# RED DIRT ORTHODONTICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Braces U Oklahoma PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851811293
- **Authorized official:** KOLTON F ERICKSON DMD MSD (PRESIDENT)
- **Authorized official phone:** (405) 227-0054

## Contact information

- **Practice address:** 5940 NW EXPRESSWAY \# 100, OKLAHOMA CITY, OK 73132-5101
- **Practice address phone:** (405) 227-0054
- **Mailing address:** 5940 NW EXPRESSWAY \# 100, OKLAHOMA CITY, OK 73132-5101
- **Mailing address phone:** (405) 227-0054
- **Mailing address fax:** (970) 226-8669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 03/12/2019