DDSI SOUTH AEC LLC NPI 1043253263

NPI Information

  • NPI: 1043253263
  • Provider Name: DDSI SOUTH AEC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: DDSI SOUTH AEC LLC
  • Address: 4201 SOUTH WESTERN
    STE. 4000
    OKLAHOMA CITY, OK
    ZIP 73109
  • Phone: (405) 632-4000

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NPI Details

DDSI SOUTH AEC LLC is an ambulatory surgical clinic center in Oklahoma City, OK. DDSI SOUTH AEC LLC NPI is 1043253263. The provider is registered as an organization entity type.
The provider Is Doing Business As Ddsi South Aec Llc.

The provider's business location address is:

4201 SOUTH WESTERN
STE. 4000
OKLAHOMA CITY, OK
ZIP 73109-410
Phone: (405) 632-4000
Fax: (405) 632-4073

The provider's authorized official is Diana J Mock .
The authorized official title is Director and has the following contact phone number (405) 767-6630.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 2/10/2021.

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
1261QA1903XClinic/CenterAmbulatory Surgical0075OKLAHOMAYes

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: 11/21/2025

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