Drake, Albert Eugene

Drake, Albert Eugene is an individual health care provider with primary practice located at 8819 N 145Th E Ave , Owasso OK 74055. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Drake, Albert Eugene can be contacted via phone (918) 272-5381.

Contact Information

Primary practice address
8819 N 145Th E Ave Owasso OK 74055
Fax: (918) 274-0815
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4019 Oklahoma

Profile Details

NPI number 1851341481
LBN Legal business name Drake, Albert Eugene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851341481 NPPES
Other 731072535001 BLUE CROSS BLUE SHIELD
Other 059363 BLUE CROSS BLUE SHIELD

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