BARTLESVILLE PERIODONTICS AND DENTAL IMPLANTS NPI 1588807465

NPI Information

BARTLESVILLE PERIODONTICS AND DENTAL IMPLANTS is a periodontics dentist in Bartlesville, OK. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. BARTLESVILLE PERIODONTICS AND DENTAL IMPLANTS NPI is 1588807465. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2419 NOWATA PL
SUITE 101
BARTLESVILLE, OK
ZIP 74006-708
Phone: (918) 333-0990

The provider's authorized official is Jimmie Reed Butler .
The authorized official title is Periodontist and has the following contact phone number (918) 333-0990.

The enumeration date for this NPI number is 4/8/2009 and was last updated on 4/8/2009.

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:

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