Individual
MS. DEBORA LYNN LINSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, DPH, CACP
Contact information
Practice address
4221 S WESTERN AVE STE 1045, OKLAHOMA CITY, OK 73109-3492
(405) 644-5128
(405) 644-5129
Mailing address
9812 HEFNER VILLAGE DR, OKLAHOMA CITY, OK 73162-7741
(405) 644-5128
(405) 644-5129
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1259
OK
183500000X
Pharmacist
11860
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285-LAS-1205
ANTICOAGULATION PROVIDER
OK
Enumeration date
05/01/2007
Last updated
09/11/2025
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