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General NPI Number Information
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NPI Number | 1649104837
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Entity Type | Organization
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Legal Business Name | SERENITY DENTAL
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 825 KELLY LAKES PASS
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City | EDMOND
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State | OK
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Zip | 73025-9271
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Country | US
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Telephone | 405-861-8601
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Fax |
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Provider Business Mailing Address
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Address Line | 825 KELLY LAKES PASS
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City | EDMOND
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State | OK
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Zip | 73025-9271
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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 | DENTIST
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Name | DR. ABIGAIL POULAN
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Credential | DDS
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Telephone | 405-308-9447
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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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