Organization
ORTHODONTIC SPECIALISTS OF SHAWNEE
Active
Organization
ORTHODONTIC SPECIALISTS OF SHAWNEE
Active
Parent organization
ORTHODONTIC SPECIALISTS OF OKLAHOMA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHODONTIC SPECIALISTS OF OKLAHOMA
Authorized official
DR. MICHAEL BEHRMANN D.D.S., M.S. (MENAGER)
(405) 708-9748
Entity
Organization
Contact information
Practice address
18 E DUNLOUP RD, SHAWNEE, OK 74804-3203
(405) 275-7520
(405) 275-4787
Mailing address
18 E DUNLOUP RD, SHAWNEE, OK 74804-3203
(405) 275-7520
(405) 275-4787
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6097
OK
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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