LEAHA D NELS DDS PLLC NPI 1801311709

NPI Information

NPI: 1801311709
Provider Name: LEAHA D NELS DDS PLLC

Doing Business As: MAGNOLIA FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
101 N DOUGLAS BLVD STE T
MIDWEST CITY, OK
ZIP 73130
Phone: (405) 455-9057
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LEAHA D NELS DDS PLLC is a dental clinic center in Midwest City, OK. LEAHA D NELS DDS PLLC NPI is 1801311709. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Family Dentistry.

The provider's business location address is:

101 N DOUGLAS BLVD STE T
MIDWEST CITY, OK
ZIP 73130-328
Phone: (405) 455-9057

The provider's authorized official is Leaha Nels .
The authorized official title is Owner and has the following contact phone number (405) 317-6471.

The enumeration date for this NPI number is 8/11/2017 and was last updated on 7/21/2022.

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	6794	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: 4/28/2024

NPI Synchronization or Removal

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