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OUCP DENTAL SERVICE NPI 1013938117


NPI Information

NPI: 1013938117
Provider Name: OUCP DENTAL SERVICE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1200 N. PHILLIPS AVE.
SUITE 8900
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-4750
Get Directions

OUCP DENTAL SERVICE is a general practice dentist in Oklahoma City, 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. OUCP DENTAL SERVICE NPI is 1013938117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 N. PHILLIPS AVE.
SUITE 8900
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-4750
Fax: (405) 271-4055

The provider's authorized official is Rebecca J. King .
The authorized official title is Clinic Director and has the following contact phone number (405) 271-4750.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/20/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeOKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100749330AMEDICAIDOKLAHOMA

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

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