Healthcare Provider Details

I. General information

NPI: 1730283870
Provider Name (Legal Business Name): FARAH MASOOD B.D.S., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY 1201 NORTH STONEWALL AVE.
OKLAHOMA CITY OK
73190
US

IV. Provider business mailing address

UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY 1201 NORTH STONEWALL AVE.
OKLAHOMA CITY OK
73190
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5988
  • Fax: 405-271-3158
Mailing address:
  • Phone: 405-271-5988
  • Fax: 405-271-3158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0008X
TaxonomyOral and Maxillofacial Radiology Dentistry
License Number1
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: