Organization
OKLAHOMA ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRIAN SHADID DDS MSD PC (PARTNER)
(405) 843-9330
Entity
Organization
Contact information
Practice address
1008 NW GRAND BLVD, SUITE A, OKLAHOMA CITY, OK 73118
(405) 843-9330
(405) 848-4048
Mailing address
1008 NW GRAND BLVD, SUITE A, OKLAHOMA CITY, OK 73118
(405) 843-9330
(405) 848-4048
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
458428
OK
1223E0200X
Endodontics
512734
OK
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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