Individual provider · Type 1 NPI
Lee R. Centracco, DDS
General Practice Dentistry · Oklahoma City, OK
NPI number
1326030107
Active
Practice location
5400 N Grand Blvd, Ste 150
Oklahoma City, OK 73112-5692
Fax (405) 946-9378
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5 3716 (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.
Another provider at this address
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About NPI 1326030107
Lee R. Centracco, DDS's National Provider Identifier is 1326030107, issued on Aug 18, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 13, 2026.