Organization · Type 2 NPI

Dental Professionals of Oklahoma, P.c.

General Practice Dentistry · Yukon, OK

NPI number 1548557002 Active

Practice location

1670 Garth Brooks Blvd, Suite 115
Yukon, OK 73099-6878

Fax (405) 265-3555

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

2 other providers at this address

Other general practice dentistry providers in Yukon

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NPI record

NPI: 1548557002
Entity type: Organization (Type 2)
Issued: Jul 6, 2011
Last updated: Sep 15, 2015
Status: Active
Subpart: Yes of Dental Professionals of Oklahoma, P.c.

Other names

<unavail>
Family Dentistry of Yukon · doing business as

Authorized official

Heather N. Pruemer
Credentialing Coordinator
(217) 540-8434

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548557002

Dental Professionals of Oklahoma, P.c.'s National Provider Identifier is 1548557002, issued on Jul 6, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Yukon, OK. The record was last updated on Sep 15, 2015.