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TRI CITY ORAL SURGERY PLLC NPI 1366899510


NPI Information

NPI: 1366899510
Provider Name: TRI CITY ORAL SURGERY PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2822 NW 32ND ST
NEWCASTLE, OK
ZIP 73065
Phone: (405) 474-6362
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TRI CITY ORAL SURGERY PLLC is an oral and maxillofacial surgery dentist in Newcastle, OK. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. TRI CITY ORAL SURGERY PLLC NPI is 1366899510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2822 NW 32ND ST
NEWCASTLE, OK
ZIP 73065-576
Phone: (405) 474-6362
Fax: (405) 513-6542

The provider's authorized official is Dayne Jensen .
The authorized official title is Dentist and has the following contact phone number (405) 474-6362.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 5/18/2016.


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
1122300000XDentistNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

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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