Dental Professionals of Ok, PC

NPI #1013311265 in Edmond, Oklahoma

Provider Information

NPI Number: 1013311265
Entity Type: Organization
Organization Name: Dental Professionals of Ok, PC
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF OK, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 3152 S BROADWAY
City: Edmond
State: Oklahoma
ZIP Code: 73013-4056
Phone: (405) 696-4168

Authorized Official

Name: JENNIFER HOELSCHER
Title: INSURANCE/CREDENTIALING
Phone: (217) 540-5100

Specialties & Taxonomy Codes

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

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