Custom Dental South Oklahoma City
Custom Dental South Oklahoma City provides Dentist services in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.
- Licensed in
- OK
- In the registry since
- 2015
Practice location Address checks out
6800 S Western AveOklahoma City, OK 73139-1809 Not confirmed with CMS for 10 years — call before visiting
Phone: (405) 631-7571
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6745 (OK) |
|---|
Record details
| NPI number | 1740653930 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carson Nail — Dentist · (405) 631-7571 |
| NPI enumerated | November 10, 2015 |
| Last updated in NPPES | November 10, 2015 |
| Mailing address | 6800 S Western Ave, Oklahoma City, OK 73139-1809 |
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