Idental Pllc

LBN: Idental Pllc
Idental Pllc is an health care organization with primary practice located at 1700 S Sunnylane Rd , Oklahoma City OK 73115-3118. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Idental Pllc can be contacted via phone (405) 670-5000, or through Rhodes, Toby via phone (405) 830-7988.

Contact Information

Primary practice address
1700 S Sunnylane Rd Oklahoma City OK 73115-3118
Phone: (405) 670-5000
Fax: (405) 670-5001
Website:
Map and Directions
Authorized official contact:
Name: Rhodes, Toby Doctor of Dental Surgery (DDS)
Phone: (405) 830-7988

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6138 Oklahoma

Profile Details

NPI number 1932552080
LBN Legal business name Idental Pllc
DBA Doing business as
Authorized official Rhodes, Toby Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2016
Last updated Jul 13th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932552080 NPPES
Oklahoma MEDICAID 200252070A

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