Dentrust Oklahoma, PC
NPI #1407560535 in Tinker Afb, Oklahoma
Provider Information
- NPI Number
- 1407560535
- Entity Type
- Organization
- Organization Name
- Dentrust Oklahoma, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTRUST OKLAHOMA, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 12, 2023
- Last Updated
- Jan 12, 2023
Practice Location
- Address
- 3360 N AVE BLDG 685
- City
- Tinker Afb
- State
- Oklahoma
- ZIP Code
- 73145-9028
- Phone
- (267) 927-5000
Authorized Official
- Name
- AMANDA CLARK
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (267) 362-5938
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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