Organization
ALAN T. PLAXICO, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI M BRANT (OFFICE MANAGER)
(405) 377-7323
Entity
Organization
Contact information
Practice address
1526 W 8TH AVE, STILLWATER, OK 74074-4372
(405) 377-7323
(405) 372-1576
Mailing address
1526 W 8TH AVE, STILLWATER, OK 74074-4372
(405) 377-7323
(405) 372-1576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4046
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023001112
NPI TYPE 1
—
Enumeration date
04/22/2008
Last updated
04/22/2008
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