South Penn Pllc
NPI #1073306098 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1073306098
- Entity Type
- Organization
- Organization Name
- South Penn Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 22, 2025
- Last Updated
- May 27, 2025
Practice Location
- Address
- 7120 S PENNSYLVANIA AVE
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73159-3315
- Phone
- (405) 681-6601
Authorized Official
- Name
- JOSEPH TREVOR BERG, DDS
- Title
- OWNER
- Phone
- (208) 497-7250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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