FIRST IMPRESSIONS DENTISTRY NPI 1053743153

NPI Information

  • NPI: 1053743153
  • Provider Name: FIRST IMPRESSIONS DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4301 NW 63RD ST
    300
    OKLAHOMA CITY, OK
    ZIP 73116
  • Phone: (405) 879-0000

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NPI Details

FIRST IMPRESSIONS DENTISTRY 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. FIRST IMPRESSIONS DENTISTRY NPI is 1053743153. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4301 NW 63RD ST
300
OKLAHOMA CITY, OK
ZIP 73116-549
Phone: (405) 879-0000
Fax: (405) 879-0656

The provider's authorized official is Matt Cole .
The authorized official title is Owner and has the following contact phone number (405) 879-0000.

The enumeration date for this NPI number is 7/31/2013 and was last updated on 7/31/2013.

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
11223G0001XDentistGeneral Practice6061OKLAHOMAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200231440 AMEDICAIDOKLAHOMA

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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