Premiere Dentistry Of Tahlequah

LBN: Premiere Dentistry Of Tahlequah
Premiere Dentistry Of Tahlequah is an health care organization with primary practice located at 1205 E Ross Bypass , Tahlequah OK 74464. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Premiere Dentistry Of Tahlequah can be contacted via phone (918) 456-2555, or through Jones, Robert Stephen via phone (918) 456-2555.

Contact Information

Primary practice address
1205 E Ross Bypass Tahlequah OK 74464
Phone: (918) 456-2555
Fax: (918) 456-2444
Website:
Map and Directions
Authorized official contact:
Name: Jones, Robert Stephen Doctor of Dental Surgery (DDS)
Phone: (918) 456-2555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1245299825
LBN Legal business name Premiere Dentistry Of Tahlequah
DBA Doing business as
Authorized official Jones, Robert Stephen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Apr 6th, 2010 - about 15 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 1245299825 NPPES
Oklahoma MEDICAID 200021320

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