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General NPI Number Information
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NPI Number | 1164049185
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Entity Type | Organization
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Legal Business Name | CUSTOM DENTAL OF YUKON, PLLC
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 4425 GRANT BLVD
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City | YUKON
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State | OK
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Zip | 73099
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Country | US
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Telephone | 405-494-4856
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Fax | 405-494-4184
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Provider Business Mailing Address
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Address Line | 4425 GRANT BLVD
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City | YUKON
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State | OK
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Zip | 73099
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Country | US
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Telephone | 405-494-4856
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Fax | 405-494-4184
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Authorized Official
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Title or Position | OWNER-DOCTOR
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Name | DR. KATELYN JOHNSON
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Credential | DDS
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Telephone | 918-839-9088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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