Shine Dental

LBN: Blue And Red Dental Llc
Shine Dental is an health care organization with primary practice located at 2840 E 101St St , Tulsa OK 74137-5601. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Blue And Red Dental Llc can be contacted via phone (918) 518-6305, or through Patten, Brian Dale via phone (918) 518-6305.

Contact Information

Primary practice address
2840 E 101St St Tulsa OK 74137-5601
Phone: (918) 518-6305
Fax: (918) 518-6327
Website:
Map and Directions
Authorized official contact:
Name: Patten, Brian Dale Doctor of Dental Surgery (DDS)
Phone: (918) 518-6305

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 5990 Oklahoma

Profile Details

NPI number 1427322361
LBN Legal business name Blue And Red Dental Llc
DBA Doing business as Shine Dental
Authorized official Patten, Brian Dale Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2012
Last updated Feb 23rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427322361 NPPES
Oklahoma MEDICAID 200119910A

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