Oklahoma Dental

NPI #1467440503 in Yukon, Oklahoma

Provider Information

NPI Number: 1467440503
Entity Type: Organization
Organization Name: Oklahoma Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 12, 2005
Last Updated: Jan 25, 2012

Practice Location

Address: 1300 HEALTH CENTER PKWY
City: Yukon
State: Oklahoma
ZIP Code: 73099-6390
Phone: (405) 354-1147

Authorized Official

Name: NANCY D KENYON
Title: INSURANCE COORDINATOR
Phone: (405) 354-1147

Specialties & Taxonomy Codes

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

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