Okc Dental Health Associates, P.c.

NPI #1003236969 in Mustang, Oklahoma

Provider Information

NPI Number: 1003236969
Entity Type: Organization
Organization Name: Okc Dental Health Associates, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 18, 2014
Last Updated: Oct 6, 2016

Practice Location

Address: 1041 E. HWY 152
City: Mustang
State: Oklahoma
ZIP Code: 73064
Phone: (405) 256-0037

Authorized Official

Name: BRETT DETERS
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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