Healthcare Provider Details

I. General information

NPI: 1700714466
Provider Name (Legal Business Name): TAYLOR ALEXIS CARMEN TERRELL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 SONOMA PARK DR
NORMAN OK
73071-5111
US

IV. Provider business mailing address

1141 SONOMA PARK DR
NORMAN OK
73071-5111
US

V. Phone/Fax

Practice location:
  • Phone: 405-364-2200
  • Fax: 405-364-3291
Mailing address:
  • Phone: 405-364-2200
  • Fax: 405-364-3291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberOK8221
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: