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NPI Code Detail

MEDICARE: KATHLEEN HIGGINS DDS

MEDICARE:   KATHLEEN  HIGGINS  DDS
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
11223P0106XOral and Maxillofacial Pathology Dentistry019.032501IL
21223P0106XOral and Maxillofacial Pathology Dentistry7487OK

General Provider Information

NPI Number : 1710413091
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN HIGGINS DDS
Provider Business Mailing Address
First Line : 1201 N STONEWALL AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-1214
Country : US
Telephone Number : 405-271-4333
Fax Number :
Provider Business Practice Location Address
First Line : 1201 N STONEWALL AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-1214
Country : US
Telephone Number : 405-271-4333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2017
Last Update Date : 05/08/2026

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Directions to “ KATHLEEN HIGGINS DDS” Practice Location

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