DENTAL SURGERY CENTER OF EDMOND NPI 1386284552

NPI Information

DENTAL SURGERY CENTER OF EDMOND is a dental clinic center in Edmond, OK. DENTAL SURGERY CENTER OF EDMOND NPI is 1386284552. The provider is registered as an organization entity type.
The provider Is Doing Business As Edmond Dental Surgery Center.

The provider's business location address is:

13912 N WESTERN AVE
EDMOND, OK
ZIP 73013-792
Phone: (405) 437-0622

The provider's authorized official is Benjamin Bowman .
The authorized official title is Owner and has the following contact phone number (405) 326-8004.

The enumeration date for this NPI number is 1/15/2020 and was last updated on 1/14/2021.

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:

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