Individual provider · Type 1 NPI

Kellie Sue Ophus, DDS

General Practice Dentistry · Shawnee, OK

NPI number 1174819841 Active

Practice location

19 W Interstate Pkwy
Shawnee, OK 74804-1331

Mailing address

208 N Charles Ave
Midwest City, OK 73130-3411

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6292 (OK)

General Practice Dentistry: 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.

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About NPI 1174819841

Kellie Sue Ophus, DDS's National Provider Identifier is 1174819841, issued on Jun 21, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shawnee, OK. The record was last updated on Jun 21, 2011.