PKL ORTHODONTICS PC NPI 1104206887

NPI Information

NPI: 1104206887
Provider Name: PKL ORTHODONTICS, PC

Doing Business As: SKY ORTHO

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
717 S I 35 SERVICE RD STE C
MOORE, OK
ZIP 73160
Phone: (405) 378-4774
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PKL ORTHODONTICS, PC is a dental clinic center in Moore, OK. PKL ORTHODONTICS, PC NPI is 1104206887. The provider is registered as an organization entity type.
The provider Is Doing Business As Sky Ortho.

The provider's business location address is:

717 S I 35 SERVICE RD STE C
MOORE, OK
ZIP 73160-190
Phone: (405) 378-4774

The provider's authorized official is Priscilla Pickens-larson .
The authorized official title is Owner/ Orthodontist and has the following contact phone number (405) 378-4774.

The enumeration date for this NPI number is 6/8/2015 and was last updated on 6/8/2015.

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
1	261QD0000X	Clinic/Center	Dental	189	OKLAHOMA	Yes

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: 5/5/2024

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