NPI: 1932360765
Provider Name: DIXIELAND DENTAL, INC
Doing Business As: NATHAN SHAPARD, DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
4117 NW 122ND ST
SUITE C
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 751-4466
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DIXIELAND DENTAL, INC is a general practice dentist in Oklahoma City, OK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DIXIELAND DENTAL, INC NPI is 1932360765. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nathan Shapard, Dds.
The provider's business location address is:
4117 NW 122ND ST
SUITE C
OKLAHOMA CITY, OK
ZIP 73120-869
Phone: (405) 751-4466
Fax: (405) 608-0163
The provider's authorized official is Katy Shapard .
The authorized official title is Office Manager and has the following contact phone number (405) 751-4466.
The enumeration date for this NPI number is 6/24/2008 and was last updated on 6/24/2008.