Organization · Type 2 NPI

Board of Regents of Ok - Col of Dentistry Grad Perodontics

Periodontics · Oklahoma City, OK

NPI number 1609142827 Active

Practice location

1201 N Stonewall Ave Rm DCS253
Oklahoma City, OK 73117-1214

Fax (405) 271-2922

Mailing address

PO Box 26901
Oklahoma City, OK 73126-0901

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

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.

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About NPI 1609142827

Board of Regents of Ok - Col of Dentistry Grad Perodontics's National Provider Identifier is 1609142827, issued on Apr 2, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 2, 2012.