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DENTAL SQUARE LLC NPI 1164979076


NPI Information

NPI: 1164979076
Provider Name: DENTAL SQUARE LLC

Doing Business As: DENTAL SQUARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6301 NW 23RD ST
BETHANY, OK
ZIP 73008
Phone: (405) 495-2402
Get Directions

DENTAL SQUARE LLC is a general practice dentist in Bethany, 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. DENTAL SQUARE LLC NPI is 1164979076. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dental Square.

The provider's business location address is:

6301 NW 23RD ST
BETHANY, OK
ZIP 73008-931
Phone: (405) 495-2402
Fax: (405) 495-1325

The provider's authorized official is Anusha Koneru .
The authorized official title is Ceo and has the following contact phone number (405) 495-2402.

The enumeration date for this NPI number is 9/8/2016 and was last updated on 9/8/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6727OKLAHOMAYes

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: 5/5/2024

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