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
||LAKEVIEW URGENT CARE, P.C.
Clinic/Center (Urgent Care)
||ED FARROW MD PC
Clinic/Center (Primary Care)
||S. P, MCINTOSH, DDS, PLLC
||HENYRETTA DENTAL CENTER 2, PLLC
||GORE EYE CLINIC PLLC
||CREEK NATION HEALTH SYSTEM
||MORNING STAR MENTAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
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
Download this NPI record in Text format: Export
Download this NPI record in Excel (CSV) format: Export
Download this NPI record in XML format: Export
This page was last updated on: 7/15/2014
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.