Organization
NORMAN DENTAL AND IMPLANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD NELSON (OWNER)
(405) 260-6080
Entity
Organization
Contact information
Practice address
2510 TEE DR, NORMAN, OK 73069-6379
(405) 447-4400
Mailing address
2510 TEE DR, NORMAN, OK 73069-6379
(405) 447-4400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245725589
—
OK
Enumeration date
06/29/2022
Last updated
02/05/2024
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