Custom Dental Of Owasso, Pllc
LBN: Custom Dental Of Owasso, Pllc
Custom Dental Of Owasso, Pllc is an health care organization with primary practice located at 11501 N. 135Th East Ave , Owasso OK 74055. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Custom Dental Of Owasso, Pllc can be contacted via phone (918) 371-7645, or through Campbell, Ron via phone (918) 371-7645.
Contact Information
Primary practice address
11501 N. 135Th East Ave
Owasso OK 74055
Phone: (918) 371-7645
Fax: (918) 371-7272
Website:
Authorized official contact:
Name: Campbell, Ron Doctor of Dental Surgery (DDS)
Phone: (918) 371-7645
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 6099 | Oklahoma |
Profile Details
NPI number | 1659689248 |
---|---|
LBN Legal business name | Custom Dental Of Owasso, Pllc |
DBA Doing business as | |
Authorized official | Campbell, Ron Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 17th, 2010 |
Last updated | Sep 17th, 2010 - about 14 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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