Signature Dental, Inc

LBN: Signature Dental, Inc
Signature Dental, Inc is an health care organization with primary practice located at 2620 Nw Expressway Suite E, Oklahoma City OK 73112-7281. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Signature Dental, Inc can be contacted via phone (405) 943-0123, or through Mcconnell-Poore, Kesa via phone (405) 943-0123.

Contact Information

Primary practice address
2620 Nw Expressway Suite E Oklahoma City OK 73112-7281
Phone: (405) 943-0123
Fax: (405) 945-0234
Website:
Map and Directions
Authorized official contact:
Name: Mcconnell-Poore, Kesa Doctor of Dental Surgery (DDS)
Phone: (405) 943-0123

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 5877 Oklahoma

Profile Details

NPI number 1740455245
LBN Legal business name Signature Dental, Inc
DBA Doing business as
Authorized official Mcconnell-Poore, Kesa Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 17th, 2009 - about 16 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 1740455245 NPPES
Oklahoma MEDICAID 200084850A

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