Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU DENITSTRY
Active
Other names
University Dental Faculty Group
Organization subpart
No
Provider details
NPI number
Authorized official
D. MICHELLE PARK (DIRECTOR)
(405) 271-8001
Entity
Organization
Contact information
Practice address
1201 N STONEWALL, ROOM 494, OKLAHOMA CITY, OK 73117-1214
(405) 271-5714
(405) 271-2405
Mailing address
1201 N STONEWALL AVE RM 321, OKLAHOMA CITY, OK 73117-1214
(405) 271-8001
(405) 271-2922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100745050A
—
OK
Enumeration date
02/13/2007
Last updated
04/21/2025
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