Individual provider · Type 1 NPI

Cody Duc Van

General Practice Dentistry · Broken Arrow, OK

NPI number 1295628659 Active

Practice location

1950 W Kenosha St
Broken Arrow, OK 74012-8944

Call (918) 518-1526 Map

Mailing address

2219 E 11th St Unit 204
Tulsa, OK 74104-3641

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8055 (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 1295628659

Cody Duc Van's National Provider Identifier is 1295628659, issued on Jun 2, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Broken Arrow, OK. The record was last updated on Jun 2, 2025.