Healthcare Provider Details
I. General information
NPI: 1740368026
Provider Name (Legal Business Name): D & D SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
720 NE 63RD ST
OKLAHOMA CITY OK
73105-6410
US
IV. Provider business mailing address
12331 E 60TH ST
TULSA OK
74146-6904
US
V. Phone/Fax
- Phone: 405-848-7337
- Fax: 405-848-7338
- Phone: 918-252-2000
- Fax: 918-252-2007
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 7177 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 15033 |
| License Number State | OK |
VIII. Authorized Official
Name:
JANE
E
DOSS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: R.N.
Phone: 918-252-2000