<Unavail>

LBN: Okc 89Th Dental, Pllc
<Unavail> is an health care organization with primary practice located at 7801 S Western Ave Ste 101 , Oklahoma City OK 73139-2411. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Okc 89Th Dental, Pllc can be contacted via phone (405) 691-3399, or through Cardon, Creed Louis via phone (918) 998-0996.

Contact Information

Primary practice address
7801 S Western Ave Ste 101 Oklahoma City OK 73139-2411
Phone: (405) 691-3399
Fax: (405) 256-1191
Website:
Map and Directions
Authorized official contact:
Name: Cardon, Creed Louis Doctor of Dental Surgery (DDS)
Phone: (918) 998-0996

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1215470497
LBN Legal business name Okc 89Th Dental, Pllc
DBA Doing business as <Unavail>
Authorized official Cardon, Creed Louis Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2016
Last updated Aug 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215470497 NPPES
Oklahoma MEDICAID 200679550A

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