Individual provider · Type 1 NPI
Tapan Koticha, BDS, MDS
Periodontics · Edmond, OK
NPI number
1497023196
Active
Practice location
16430 Muirfield Place
Edmond, OK 73013-9161
Mailing address
16913 Shorerun Dr
Edmond, OK 73012-8440
Other practice locations
- 1020 NW 192nd St Ste H, Edmond, OK 73012-4296 · (405) 648-8966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901020564 (MI) |
| Periodontics Primary | 1223P0300X | 72 (OK) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1497023196
Tapan Koticha, BDS, MDS's National Provider Identifier is 1497023196, issued on Dec 8, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Edmond, OK. The record was last updated on Dec 14, 2023.