Organization
ADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA, P.C.
Active
Parent organization
ADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA, P.C.
Other names
Advantage Dental Plus
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA, P.C.
Authorized official
SHERRIE EDMONDSON (SR MANAGER)
(629) 999-5014
Entity
Organization
Contact information
Practice address
2619 S ELM PL, BROKEN ARROW, OK 74012-7878
(918) 872-0218
(918) 872-0892
Mailing address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
(629) 999-5014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
12/19/2023
Last updated
03/19/2024
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