Individual
DR. ROCKY DON CULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
425 WEST STONEWOOD DRIVE, BROKEN ARROW, OK 74012
(918) 921-9003
(918) 619-9006
Mailing address
425 WEST STONE WOOD DRIVE, BROKEN ARROW, OK 74012
(918) 921-9003
(918) 615-9006
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3583
AR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5601
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161313679
—
AR
05
—
200088490A
—
OK
05
—
200660560A
—
OK
01
—
5A010
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/18/2006
Last updated
12/22/2016
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