ALTUS MANGUM DENTAL PLLC NPI 1720685324

NPI Information

NPI: 1720685324
Provider Name: ALTUS MANGUM DENTAL PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1410 N LOUIS TITTLE AVE
MANGUM, OK
ZIP 73554
Phone: (580) 782-5513
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ALTUS MANGUM DENTAL PLLC is a dental clinic center in Mangum, OK. ALTUS MANGUM DENTAL PLLC NPI is 1720685324. The provider is registered as an organization entity type.

The provider's business location address is:

1410 N LOUIS TITTLE AVE
MANGUM, OK
ZIP 73554-218
Phone: (580) 782-5513
Fax: (580) 782-5156

The provider's authorized official is Nathan S Sethman .
The authorized official title is Owner/doctor and has the following contact phone number (580) 782-5513.

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.

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			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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