Cullens, Rocky Don

Cullens, Rocky Don is an individual health care provider with primary practice located at 425 West Stonewood Drive , Broken Arrow OK 74012. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cullens, Rocky Don can be contacted via phone (918) 921-9003.

Contact Information

Primary practice address
425 West Stonewood Drive Broken Arrow OK 74012
Fax: (918) 619-9006
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3583 Arkansas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5601 Oklahoma

Profile Details

NPI number 1528086352
LBN Legal business name Cullens, Rocky Don
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 22nd, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528086352 NPPES
Oklahoma MEDICAID 200660560A
Oklahoma Other 5A010
Oklahoma MEDICAID 161313679
Oklahoma MEDICAID 200088490A

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