Dental Specialists Of Edmond

LBN: Dental Specialists Of Edmond
Dental Specialists Of Edmond is an health care organization with primary practice located at 16430 Muirfield Pl , Edmond OK 73013. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is the primary health care specialty. Dental Specialists Of Edmond can be contacted via phone (405) 696-0908, or through Al Sakka, Yacoub via phone (405) 696-0908.

Contact Information

Primary practice address
16430 Muirfield Pl Edmond OK 73013
Fax:
Website:
Authorized official contact:
Name: Al Sakka, Yacoub Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X

Profile Details

NPI number 1699395343
LBN Legal business name Dental Specialists Of Edmond
DBA Doing business as
Authorized official Al Sakka, Yacoub Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2020
Last updated Apr 23rd, 2020 - about 4 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 1699395343 NPPES
Oklahoma Other 1568862357 PROVIDER 01
Oklahoma Other 1497023196 PROVIDER 01

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