Organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Active
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Other names
MyDentist-Shawnee Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Authorized official
HANNAH FISH (CREDENTIALING COORDINATOR)
(217) 540-5699
Entity
Organization
Contact information
Practice address
19 W INTERSTATE PKWY, SHAWNEE, OK 74804-1331
(405) 275-3800
Mailing address
19 W INTERSTATE PKWY, SHAWNEE, OK 74804-1331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/27/2016
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