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NPI Code Detail

MEDICARE: ALEXEI OLDHAM

MEDICARE: ALEXEI OLDHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist8211OK

General Provider Information

NPI Number : 1134059751
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXEI OLDHAM
Provider Business Mailing Address
First Line : 13917 PASARO TRL
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-4323
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 N STONEWALL AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-1214
Country : US
Telephone Number : 405-271-7744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2026
Last Update Date : 05/23/2026

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Directions to “ ALEXEI OLDHAM ” Practice Location

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