SPECIALTY FACIAL PROSTHETICS LLC NPI 1760963276

NPI Information

  • NPI: 1760963276
  • Provider Name: SPECIALTY FACIAL PROSTHETICS LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 229 NW 9TH ST STE 107
    OKLAHOMA CITY, OK
    ZIP 73102
  • Phone: (405) 620-0880

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NPI Details

SPECIALTY FACIAL PROSTHETICS LLC is a customized equipment durable medical equipment medical supplies in Oklahoma City, OK. SPECIALTY FACIAL PROSTHETICS LLC NPI is 1760963276. The provider is registered as an organization entity type.

The provider's business location address is:

229 NW 9TH ST STE 107
OKLAHOMA CITY, OK
ZIP 73102-619
Phone: (405) 620-0880

The provider's authorized official is Charlesetta M Thompson .
The authorized official title is Technician and has the following contact phone number (405) 595-3226.

The enumeration date for this NPI number is 8/23/2018 and was last updated on 5/3/2019.

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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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: 11/21/2025

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