Spring Dental-Broken Arrow

General Practice Dentistry · Broken Arrow, OK

Organization Active NPI

NPI number 1164897666

Practice location

6416 S Elm Pl
Broken Arrow, OK 74011-4819
Phone
(918) 895-6568

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NPI record

NPI
1164897666
Entity type
Organization (Type 2)
Enumeration date
December 9, 2015
Last updated
June 14, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Phone
(918) 998-0996
Fax
(918) 235-9079

Authorized official

Name
Renee McBay
Title
Credentialing Speicalist
Phone
(918) 998-0996

About Spring Dental-Broken Arrow

Spring Dental-Broken Arrow is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6416 S Elm Pl, Broken Arrow, OK 74011-4819. The NPI number 1164897666 was assigned on December 9, 2015 and the record was last updated on June 14, 2018.

The authorized official for this organization is Renee McBay, Credentialing Speicalist.

Frequently asked questions

What is the NPI number of Spring Dental-Broken Arrow?

The NPI number is 1164897666.

What is the phone number of Spring Dental-Broken Arrow?

The phone number listed for the practice location is (918) 895-6568.

Where is Spring Dental-Broken Arrow located?

6416 S Elm Pl, Broken Arrow, OK 74011-4819.

What is the taxonomy code for Spring Dental-Broken Arrow?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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