Cheatham, Bobby Don
Cheatham, Bobby Don is an individual health care provider with primary practice located at 2800 North Kelly Avenue 200, Edmond OK 73003-3004. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cheatham, Bobby Don can be contacted via phone (405) 562-2222.Contact Information
Primary practice address
2800 North Kelly Avenue 200
Edmond OK 73003-3004
Phone: (405) 562-2222
Fax: (405) 562-2200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 422062SPECIALTY | Oklahoma |
Profile Details
| NPI number | 1568567493 |
|---|---|
| LBN Legal business name | Cheatham, Bobby Don |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568567493 | NPPES |
| Oklahoma | MEDICAID | 100123080A | |
| Oklahoma | MEDICAID | 100123080D |
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