Youngblood, Chase C

Youngblood, Chase C is an individual health care provider with primary practice located at 2025 S Gordon Cooper Dr , Shawnee OK 74801-9005. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Youngblood, Chase C can be contacted via phone (405) 307-9704.

Contact Information

Primary practice address
2025 S Gordon Cooper Dr Shawnee OK 74801-9005
Phone: (405) 307-9704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6052 Oklahoma

Profile Details

NPI number 1083877179
LBN Legal business name Youngblood, Chase C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Sep 13th, 2011 - about 13 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.

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