Cody Duc Van
General Practice Dentistry · Broken Arrow, OK
Practice location
1950 W Kenosha StBroken Arrow, OK 74012-8944
- Phone
- (918) 518-1526
NPI record
- NPI
- 1295628659
- Entity type
- Individual (Type 1)
- Enumeration date
- June 2, 2025
- Last updated
- June 2, 2025
- Certified
- June 2, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
8055 | OK |
Mailing address
2219 E 11TH St Unit 204Tulsa, OK 74104-3641
- Phone
- (316) 680-9288
About Cody Van
Cody Duc Van is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1950 W Kenosha St, Broken Arrow, OK 74012-8944. The NPI number 1295628659 was assigned on June 2, 2025 and the record was last updated on June 2, 2025.
Cody Van lists a license in the registry: #8055 (OK) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Cody Duc Van?
The NPI number is 1295628659.
What is the phone number of Cody Van?
The phone number listed for the practice location is (918) 518-1526.
Where is Cody Van located?
1950 W Kenosha St, Broken Arrow, OK 74012-8944.
What is the taxonomy code for Cody Van?
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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