Provider Type Icon

ANADARKO DENTAL GROUP PLLC NPI 1114497575


NPI Information

NPI: 1114497575
Provider Name: ANADARKO DENTAL GROUP PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 37D1063365

Address:
310 SE 11TH ST
ANADARKO, OK
ZIP 73005
Phone: (405) 247-7676
Get Directions

ANADARKO DENTAL GROUP PLLC is a general practice dentist in Anadarko, OK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ANADARKO DENTAL GROUP PLLC NPI is 1114497575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 SE 11TH ST
ANADARKO, OK
ZIP 73005-446
Phone: (405) 247-7676

The provider's authorized official is Brandi Ann Williams .
The authorized official title is Clinical Director and has the following contact phone number (405) 250-2255.

The CLIA number assigned to this NPI record is 37D1063365 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2018 and was last updated on 11/28/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.