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NPI Code Detail

MEDICARE: DR. MARIE DANELLE BOCKUS D.D.S.

MEDICARE:  DR. MARIE DANELLE BOCKUS  D.D.S.
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
11223G0001XGeneral Practice Dentistry6021OK

General Provider Information

NPI Number : 1265697585
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIE DANELLE BOCKUS D.D.S.
Provider Business Mailing Address
First Line : 10924 HEFNER POINTE DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-5061
Country : US
Telephone Number : 405-751-4556
Fax Number :
Provider Business Practice Location Address
First Line : 10924 HEFNER POINTE DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-5061
Country : US
Telephone Number : 405-751-4556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2008
Last Update Date : 02/04/2026

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Directions to “ DR. MARIE DANELLE BOCKUS D.D.S.” Practice Location

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