Individual
MARY NAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 73145-8716
(405) 734-2778
Mailing address
7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 73145-8716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00204254
CO
1223P0300X
Periodontics
Primary
DEN.00204254
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
07/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us