=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720960750
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH RINGDAHL RDH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2025
-----------------------------------------------------
Last Update Date | 07/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1006 NE 17TH ST
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73111-1002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-419-9800
-----------------------------------------------------
Fax | 405-521-8496
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 30589
-----------------------------------------------------
City | MIDWEST CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73140-3589
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-769-3301
-----------------------------------------------------
Fax | 405-769-9685
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 124Q00000X
-----------------------------------------------------
Taxonomy Name | Dental Hygienist
-----------------------------------------------------
License Number | 4781
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------