DR. BOBBY DON CHEATHAM DDS NPI 1568567493

NPI Information

NPI: 1568567493
Provider Name: DR. BOBBY DON CHEATHAM, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
2800 NORTH KELLY AVENUE
200
EDMOND, OK
ZIP 73003
Phone: (405) 562-2222
Get Directions

DR. Bobby Don Cheatham, DDS is a pediatric dentistry dentist in Edmond, OK. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Bobby Don Cheatham, DDS NPI is 1568567493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2800 NORTH KELLY AVENUE
200
EDMOND, OK
ZIP 73003-004
Phone: (405) 562-2222
Fax: (405) 562-2200

The enumeration date for this NPI number is 9/14/2006 and was last updated on 7/8/2007.

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	1223P0221X	Dentist	Pediatric Dentistry	422062SPECIALTY	OKLAHOMA	Yes

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
1	100123080D	MEDICAID	OKLAHOMA
2	100123080A	MEDICAID	OKLAHOMA

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: 11/14/2023

NPI Synchronization or Removal

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