institution
Pediatric Dentistry Of Oklahoma
Pediatric Dentist in Oklahoma City, Oklahoma
NPI 1629643903

Pediatric Dentistry Of Oklahoma is a Pediatric Dentist based in Oklahoma City, OK and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Oklahoma practices in Oklahoma City, OK. The NPI Number for Pediatric Dentistry Of Oklahoma is 1629643903 and holds a License No. (Oklahoma).

The current practice location address for Pediatric Dentistry Of Oklahoma is 3613 Nw 56Th St Ste 105, Oklahoma City, OK and can be reached out via phone at 405-946-2455 and via fax at 405-946-3445. You can also correspond with Pediatric Dentistry Of Oklahoma through the mailing address at 3613 NW 56TH ST STE 105, OKLAHOMA CITY, OK - 73112-4520 (mailing address contact number: 405-946-2455).

Location: 3613 Nw 56Th St Ste 105, Oklahoma City, OK, 73112-4520
institution
Provider Profile Details
NPI Number
1629643903
Provider Name
Pediatric Dentistry Of Oklahoma
Credential
Provider Entity Type
Organization
Address
3613 Nw 56Th St Ste 105, Oklahoma City, OK, 73112-4520
Phone Number
405-946-2455
Fax Number
405-946-3445
Provider Enumeration Date
05/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1184868960 01 NPI
100122730A 05 OK
1720063225 01 NPI
institution
Provider Business Practice Location Address Details
Address
3613 Nw 56Th St Ste 105
City
State
Zip
73112-4520
Phone Number
405-946-2455
Fax Number
405-946-3445
person
Provider Business Mailing Address Details
Address
3613 Nw 56Th St Ste 105
City
State
Zip
73112-4520
Phone Number
405-946-2455
Fax Number
405-946-3445
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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