Organization
JEFFREY P. AUSTIN, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P AUSTIN (OWNER/DENTIST)
(405) 447-9441
Entity
Organization
Contact information
Practice address
3000 S BERRY RD, SUITE 200, NORMAN, OK 73072-7472
(405) 447-9441
(405) 447-9456
Mailing address
3000 S BERRY RD, SUITE 200, NORMAN, OK 73072-7472
(405) 447-9441
(405) 447-9456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5413
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224470A
—
OK
Enumeration date
04/29/2008
Last updated
04/29/2008
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