Organization
MELANIE D. EMERSON, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY SHUCK (OFFICE MANAGER)
(405) 732-3200
Entity
Organization
Contact information
Practice address
9708 E RENO AVE, MIDWEST CITY, OK 73130-3502
(405) 732-3200
Mailing address
9708 E RENO AVE, MIDWEST CITY, OK 73130-3502
(405) 732-3200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073622189
DENTIST
OK
01
—
1154988517
DENTSIT
OK
Enumeration date
08/07/2019
Last updated
08/07/2019
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