Redbud Dental Midwest City

LBN: Redbud Dental Midwest City
Redbud Dental Midwest City is an health care organization with primary practice located at 101 N Douglas Blvd Ste T, Midwest City OK 73130-3329. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Redbud Dental Midwest City can be contacted via phone (405) 888-5379, or through Brewer, Adam C via phone (405) 888-5379.

Contact Information

Primary practice address
101 N Douglas Blvd Ste T Midwest City OK 73130-3329
Phone: (405) 888-5379
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Adam C Doctor of Dental Surgery (DDS)
Phone: (405) 888-5379

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 1223G0001X Oklahoma

Profile Details

NPI number 1225417207
LBN Legal business name Redbud Dental Midwest City
DBA Doing business as
Authorized official Brewer, Adam C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2015
Last updated May 25th, 2015 - about 9 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 1225417207 NPPES
Oklahoma MEDICAID 200199260A

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