MRS. Kellie Sue Ophus, D.D.S.

NPI #1174819841 in Shawnee, Oklahoma

Provider Information

NPI Number: 1174819841
Entity Type: Individual
Name: MRS. Kellie Sue Ophus, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 21, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 19 W INTERSTATE PKWY
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1331
Phone: (405) 275-0675

Specialties & Taxonomy Codes

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

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