DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: OKLAHOMA CITY DENTAL SW, PLLC

MEDICARE: OKLAHOMA CITY DENTAL SW, 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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1144834821
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKLAHOMA CITY DENTAL SW, PLLC
Provider Business Mailing Address
First Line : 400 RIVERWALK TER STE 250
Second Line :
City : JENKS
State : OK
Zip : 74037-5619
Country : US
Telephone Number : 918-998-0996
Fax Number :
Provider Business Practice Location Address
First Line : 6616 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-1708
Country : US
Telephone Number : 405-601-7852
Fax Number :
Authorized Official
Title or Position : DDS
Name : CREED L CARDON
Credential :
Telephone Number : 918-998-0996
Provider Enumeration Date : 09/01/2020
Last Update Date : 09/01/2020

Similar Medicare Providers

1962715227 — DR. GEOFFREY CAMERON SLOAT DDS
Practice Location Address:
6616 S WESTERN AVE
OKLAHOMA CITY, OK
73139-1708
Practice Phone: 405-601-7852
Practice Fax:
1497175400 — OKC DENTAL HEALTH ASSOCIATES, P.C.
Practice Location Address:
6616 S WESTERN AVE
OKLAHOMA CITY, OK
73139-1708
Practice Phone: 405-601-7856
Practice Fax:
1134508641 — DR. JAE W CHOI DDS
Practice Location Address:
6616 S WESTERN AVE
OKLAHOMA CITY, OK
73139-1708
Practice Phone: 405-445-0872
Practice Fax:
1043886278 — NICHOLAS NOVAKOVICH DMD
Practice Location Address:
6616 S WESTERN AVE
OKLAHOMA CITY, OK
73139-1708
Practice Phone: 405-601-7852
Practice Fax: 405-601-7879
1942992995 — KEVIN DREESEN
Practice Location Address:
6616 S WESTERN AVE
OKLAHOMA CITY, OK
73139-1708
Practice Phone: 405-601-7852
Practice Fax:
1992550958 — PRESTON KEITH PATRICK
Practice Location Address:
6616 S WESTERN AVE
OKLAHOMA CITY, OK
73139-1708
Practice Phone: 405-601-7852
Practice Fax:

Directions to “OKLAHOMA CITY DENTAL SW, PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.