Organization
SMILING FACES PEDIATRIC DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R FARMER DDS (OWNER)
(918) 521-0473
Entity
Organization
Contact information
Practice address
5222 N. PORTLAND, OKLAHOMA CITY, OK 73112
(405) 947-1525
(405) 947-6716
Mailing address
5222 N. PORTLAND, OKLAHOMA CITY, OK 73112
(405) 947-1525
(405) 947-6716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5609
OK
1223P0221X
Pediatric Dentistry
2933
OK
1223P0221X
Pediatric Dentistry
5590
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730090A
—
OK
Enumeration date
04/04/2007
Last updated
10/11/2019
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