Advantage Dental Oral Health Center of Oklahoma, P.c.
NPI #1386412328 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1386412328
- Entity Type
- Organization
- Organization Name
- Advantage Dental Oral Health Center of Oklahoma, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 19, 2023
- Last Updated
- Mar 19, 2024
Practice Location
- Address
- 2619 S ELM PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-7878
- Phone
- (918) 872-0218
Authorized Official
- Name
- SHERRIE EDMONDSON
- Title
- SR MANAGER
- Phone
- (629) 999-5014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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