Okc Dental Health Associates, P.c.

NPI #1750701603 in Ardmore, Oklahoma

Provider Information

NPI Number: 1750701603
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 18, 2014
Last Updated: Apr 27, 2016

Practice Location

Address: 2401 12TH AVE NW STE 103
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1471
Phone: (580) 233-5962

Authorized Official

Name: HANNAH FISH
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-5699

Specialties & Taxonomy Codes

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

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