Organization
MUSTANG FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALLIE D BOUZIDEN (DENTIST/OWNER)
(405) 376-3320
Entity
Organization
Contact information
Practice address
1444 N MUSTANG RD, MUSTANG, OK 73064-7214
(405) 376-3320
(405) 376-9450
Mailing address
1444 N MUSTANG RD, MUSTANG, OK 73064-7214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6183
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649591033
NPI
OK
01
—
1770996084
NPI
OK
Enumeration date
10/01/2015
Last updated
11/09/2020
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