Organization
DAVID E. DEASON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DEASON D.D.S. (DENTIST)
(405) 354-4802
Entity
Organization
Contact information
Practice address
415 E MAIN ST STE 4, YUKON, OK 73099-2259
(405) 354-4802
(405) 354-4803
Mailing address
415 E MAIN ST STE 4, YUKON, OK 73099-2259
(405) 354-4802
(405) 354-4803
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3661
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376693267
NPI TYPE 1
OK
Enumeration date
04/23/2008
Last updated
04/23/2008
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