CANADIAN VALLEY DENTISTRY PLLC NPI 1720437296

NPI Information

NPI: 1720437296
Provider Name: CANADIAN VALLEY DENTISTRY PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
705 EAGLE CIRCLE
EL RENO, OK
ZIP 73036
Phone: (405) 262-6677
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CANADIAN VALLEY DENTISTRY PLLC is a dental clinic center in El Reno, OK. CANADIAN VALLEY DENTISTRY PLLC NPI is 1720437296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 EAGLE CIRCLE
EL RENO, OK
ZIP 73036-150
Phone: (405) 262-6677
Fax: (405) 262-1235

The provider's authorized official is Ray Dean Tate .
The authorized official title is Dentist and has the following contact phone number (405) 262-6677.

The enumeration date for this NPI number is 6/6/2016 and was last updated on 7/12/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice			No
2	261QD0000X	Clinic/Center	Dental	6815	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

NPI Synchronization or Removal

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