Elassal, K George
Elassal, K George is an individual health care provider with primary practice located at 11317 S Western Avenue Suite 100A, Oklahoma City OK 73170-5849. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Elassal, K George can be contacted via phone (405) 692-2722.Contact Information
Primary practice address
11317 S Western Avenue Suite 100A
Oklahoma City OK 73170-5849
Phone: (405) 692-2722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 4541 | Oklahoma |
Profile Details
| NPI number | 1891805990 |
|---|---|
| LBN Legal business name | Elassal, K George |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1891805990 | NPPES |
| Other | 677423 | UNITED CONCORDIA |
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