EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. - HENRYETTA - DENTAL - NPI NUMBER 1679822175
Provider Name: EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. - HENRYETTA - DENTAL
NPI Number: 1679822175
Clasification: Clinic/Center (261QD0000X)
217 S 5TH ST
Phone Number: (918) 652-3676
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. - HENRYETTA - DENTAL is a dental clinic/center in Henryetta, OK. The assigned NPI number for this provider is 1679822175 and is registered as an organization entity type.
The provider's business address is:
217 S 5TH ST
Phone: (918) 652-3676
Fax: (918) 652-7612
The provider's authorized official is Donna Dyer .
The authorized official title is Ceo and has the following contact phone number (405) 452-3151.
The enumeration date for this NPI number is 8/30/2012 and was last updated on 8/30/2012.
Map - Location of Practice
||HENYRETTA DENTAL CENTER 2, PLLC
||S. P, MCINTOSH, DDS, PLLC
||GORE EYE CLINIC PLLC
||CREEK NATION HEALTH SYSTEM
||ED FARROW MD PC
Clinic/Center (Primary Care)
||MORNING STAR MENTAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
||LAKEVIEW URGENT CARE, P.C.
Clinic/Center (Urgent Care)
The following information regarding the scope of practice of this provider is available:
||Entity Type Code
||Employer Identification Number EIN
||Provider Organization Name Legal Business Name
||EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC. - HENRYETTA - DENTAL
||Provider First Line Business Practice Location Address
||217 S 5TH ST
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Business Practice Location Address Fax Number
||Provider Enumeration Date
||Last Update Date
||Authorized Official Last Name
||Authorized Official First Name
||Authorized Official Title or Position
||Authorized Official Telephone Number
||Healthcare Provider Taxonomy Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Is Organization Subpart
||Parent Organization LBN
||EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER, INC.
||Parent Organization TIN
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This page was last updated on: 1/13/2015
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