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NPI Code Detail

MEDICARE: MAX D. BIRD, D.D.S., INC.

MEDICARE: MAX D. BIRD, D.D.S., INC.
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
11223G0001XGeneral Practice Dentistry3833OK

General Provider Information

NPI Number : 1386839363
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAX D. BIRD, D.D.S., INC.
Provider Business Mailing Address
First Line : 10124 S SHERIDAN RD STE A
Second Line :
City : TULSA
State : OK
Zip : 74133-6742
Country : US
Telephone Number : 918-528-6555
Fax Number :
Provider Business Practice Location Address
First Line : 10124 S SHERIDAN RD STE A
Second Line :
City : TULSA
State : OK
Zip : 74133-6742
Country : US
Telephone Number : 918-528-6555
Fax Number :
Authorized Official
Title or Position : D.D.S.
Name : MAX D. BIRD
Credential :
Telephone Number : 918-437-8612
Provider Enumeration Date : 09/12/2007
Last Update Date : 06/26/2008

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Directions to “MAX D. BIRD, D.D.S., INC. ” Practice Location

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