MEDICARE: BEE SMILES DENTISTRY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5268	OK

General Provider Information

NPI Number	:	1063849966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEE SMILES DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	6521 S WESTERN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-1714
Country	:	US
Telephone Number	:	405-634-2313
Fax Number	:	405-634-0474

Provider Business Practice Location Address
First Line	:	6521 S WESTERN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-1714
Country	:	US
Telephone Number	:	405-634-2313
Fax Number	:	405-634-0474

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. SUE BETH ABER
Credential	:	DDS
Telephone Number	:	405-634-2313

Provider Enumeration Date	:	10/09/2013
Last Update Date	:	10/09/2013

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