Healthcare Provider Details

I. General information

NPI: 1194968495
Provider Name (Legal Business Name): DWIGHT TURNER DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 04/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W CADDO ST
CLEVELAND OK
74020-5211
US

IV. Provider business mailing address

305 W CADDO ST
CLEVELAND OK
74020-5211
US

V. Phone/Fax

Practice location:
  • Phone: 918-358-3512
  • Fax: 918-358-2342
Mailing address:
  • Phone: 918-358-3512
  • Fax: 918-358-2342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateOK

VIII. Authorized Official

Name: DR. DWIGHT LAWRENCE TURNER
Title or Position: DENTIST
Credential: DDS
Phone: 918-358-3512