Healthcare Provider Details

I. General information

NPI: 1932895604
Provider Name (Legal Business Name): CHEREEKA ANTONNIA DARLING DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 N 9TH ST
BROKEN ARROW OK
74012-2850
US

IV. Provider business mailing address

2319 N 9TH ST
BROKEN ARROW OK
74012-2850
US

V. Phone/Fax

Practice location:
  • Phone: 918-957-7777
  • Fax:
Mailing address:
  • Phone: 918-957-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8257
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: