Custom Dental Of Yukon, Pllc

LBN: Custom Dental Of Yukon, Pllc
Custom Dental Of Yukon, Pllc is an health care organization with primary practice located at 4425 Grant Blvd , Yukon OK 73099. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Custom Dental Of Yukon, Pllc can be contacted via phone (405) 494-4856, or through Johnson, Katelyn via phone (918) 839-9088.

Contact Information

Primary practice address
4425 Grant Blvd Yukon OK 73099
Phone: (405) 494-4856
Fax: (405) 494-4184
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Katelyn Doctor of Dental Surgery (DDS)
Phone: (918) 839-9088

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1164049185
LBN Legal business name Custom Dental Of Yukon, Pllc
DBA Doing business as
Authorized official Johnson, Katelyn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2020
Last updated Jun 26th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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