Organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Active
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Other names
MyDentist-Meridian Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Authorized official
HANNAH FISH (CREDENTIALING COORDINATOR)
(217) 540-5699
Entity
Organization
Contact information
Practice address
4420 W I 40 SERVICE RD, OKLAHOMA CITY, OK 73108-1896
(405) 948-8779
Mailing address
4420 W I 40 SERVICE RD, OKLAHOMA CITY, OK 73108-1896
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/27/2016
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