Organization
SCD DENTAL PC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT C DICKINSON DDS (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
2123 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-8013
(405) 415-1420
(405) 302-4892
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 438-4482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6450
OK
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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