Individual
BLAKE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6540 E 121ST ST S, BIXBY, OK 74008-2688
(918) 740-6222
Mailing address
6540 E 121ST ST S, BIXBY, OK 74008-2688
(918) 740-6222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8183
OK
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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