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General NPI Number Information
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NPI Number | 1487154829
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Entity Type | Organization
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Legal Business Name | PROUD TO SERVE FAMILY DENTISTRY
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 6401 N INTERSTATE DR STE 156
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City | NORMAN
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State | OK
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Zip | 73069-9524
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Country | US
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Telephone | 405-309-7721
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Fax | 405-310-7911
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Provider Business Mailing Address
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Address Line | 10550 GLAD LN
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City | NORMAN
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State | OK
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Zip | 73026-6983
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AUDREY LYNN MAY-JONES
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Credential | DDS
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Telephone | 405-309-7721
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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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