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General NPI Number Information
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NPI Number | 1386839363
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Entity Type | Organization
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Legal Business Name | MAX D. BIRD, D.D.S., INC.
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 10124 S SHERIDAN RD STE A
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City | TULSA
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State | OK
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Zip | 74133-6742
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Country | US
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Telephone | 918-528-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 10124 S SHERIDAN RD STE A
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City | TULSA
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State | OK
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Zip | 74133-6742
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Country | US
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Telephone | 918-528-6555
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Fax |
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Authorized Official
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Title or Position | D.D.S.
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Name | MAX D. BIRD
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Credential |
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Telephone | 918-437-8612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3833
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License Number State | OK
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