Dentures, Implants, and Dentistry of Oklahoma Pllc

NPI #1154019925 in Yukon, Oklahoma

Provider Information

NPI Number: 1154019925
Entity Type: Organization
Organization Name: Dentures, Implants, and Dentistry of Oklahoma Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 28, 2023
Last Updated: Jul 7, 2023

Practice Location

Address: 1730 SHEDECK PARKWAY
Address 2: SUITES #100 AND #105
City: Yukon
State: Oklahoma
ZIP Code: 73099
Phone: (405) 237-6453

Authorized Official

Name: DR. JOHN FULLINGTON, DDS
Title: DENTIST
Phone: (405) 237-6453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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