Premiere Dentistry Of Tahlequah, P.C.

LBN: Premiere Dentistry Of Tahlequah, P.C.
Premiere Dentistry Of Tahlequah, P.C. is an health care organization with primary practice located at 1205 E Ross Byp , Tahlequah OK 74464-4188. 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, P.C. can be contacted via phone (918) 456-2555, or through Jones, Robert S via phone (918) 456-2555.

Contact Information

Primary practice address
1205 E Ross Byp Tahlequah OK 74464-4188
Phone: (918) 456-2555
Fax: (918) 456-2444
Website:
Map and Directions
Authorized official contact:
Name: Jones, Robert S Doctor of Dental Surgery (DDS)
Phone: (918) 456-2555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1841465861
LBN Legal business name Premiere Dentistry Of Tahlequah, P.C.
DBA Doing business as
Authorized official Jones, Robert S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated May 13th, 2008 - about 17 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 1841465861 NPPES
Oklahoma MEDICAID 200021320A

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