Okc Dental Health Associates, P.c.
NPI #1457771032 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1457771032
- Entity Type
- Organization
- Organization Name
- Okc Dental Health Associates, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OKC DENTAL HEALTH ASSOCIATES, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 22, 2014
- Last Updated
- Apr 27, 2016
Practice Location
- Address
- 3451 W KENOSHA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-8949
- Phone
- (918) 307-0909
Authorized Official
- Name
- HANNAH FISH
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-5699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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