MEDICARE: OKC DENTISTRY ASSOCIATES

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
1	122300000X	Dentist

General Provider Information

NPI Number	:	1508407032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OKC DENTISTRY ASSOCIATES

Provider Business Mailing Address
First Line	:	8001 N MACARTHUR BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-4714
Country	:	US
Telephone Number	:	405-728-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	8001 N MACARTHUR BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-4714
Country	:	US
Telephone Number	:	405-728-7171
Fax Number	:	405-720-1997

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MATTHEW GUFFEY
Credential	:	DDS
Telephone Number	:	405-651-7350

Provider Enumeration Date	:	10/06/2019
Last Update Date	:	10/06/2019

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Directions to “OKC DENTISTRY ASSOCIATES ” Practice Location

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