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NPI Code Detail

MEDICARE: DR. PAULA C COTHRAN DDS

MEDICARE:  DR. PAULA C COTHRAN  DDS
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 Dentistry5136OK

General Provider Information

NPI Number : 1699838789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAULA C COTHRAN DDS
Provider Business Mailing Address
First Line : 1001 SW 74TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139
Country : US
Telephone Number : 405-634-4188
Fax Number : 405-631-2112
Provider Business Practice Location Address
First Line : 1001 SW 74TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139
Country : US
Telephone Number : 405-634-4188
Fax Number : 405-631-2112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PAULA C COTHRAN DDS” Practice Location

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