Healthcare Provider Details

I. General information

NPI: 1093643553
Provider Name (Legal Business Name): EMILY ELIZABETH LEE DRYE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 S 30TH ST
ENID OK
73701-6455
US

IV. Provider business mailing address

8513 SW 44TH TER
OKLAHOMA CITY OK
73179-4012
US

V. Phone/Fax

Practice location:
  • Phone: 580-293-2902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8194
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: