Healthcare Provider Details

I. General information

NPI: 1598697419
Provider Name (Legal Business Name): ALEXANDER DANNER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 NE 13TH ST
OKLAHOMA CITY OK
73104-5007
US

IV. Provider business mailing address

2620 LAKESIDE DR
OKLAHOMA CITY OK
73120-3309
US

V. Phone/Fax

Practice location:
  • Phone: 405-456-5139
  • Fax:
Mailing address:
  • Phone: 405-570-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8190
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: