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General NPI Number Information
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NPI Number | 1811303274
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Entity Type | Individual
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Provider Name | MUHANNAD SHEBLI AL SALAYTA D.D.S
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Gender | Male
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 9404 S ELWOOD AVE
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City | JENKS
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State | OK
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Zip | 74037-2317
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Country | US
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Telephone | 918-299-2298
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Fax |
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Provider Business Mailing Address
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Address Line | 7334 S SLEEPY HOLLOW DR
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City | TULSA
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State | OK
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Zip | 74136-5917
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Country | US
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Telephone | 512-769-1776
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6652
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License Number State | OK
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