Organization Active NPI

Precision Family Dentistry, PLLC

  • Dental Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1043526239
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5894 Issued in OK
Legal business name
PRECISION FAMILY DENTISTRY, PLLC
Practice address
16 SW 89TH St.
Oklahoma City, OK 73139
Phone
(405) 631-4800
NPI assigned
Aug 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael C Fitzgerald, D.D.S.NPI 1457543522
Title
Dentist/Member
Phone
(405) 631-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5894 OK Primary

Addresses

Primary practice location

16 SW 89TH St.
Oklahoma City, OK 73139

Mailing address

PO Box 890145
Oklahoma City, OK 73189-0145
Phone (405) 631-4800

National Provider Directory

National Provider Directory

Locations

16 SW 89th St
Oklahoma City, OK 73139
Phone (405) 631-4800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1043526239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890145",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731890145",
            "telephone_number": "405-631-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SW 89TH ST.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-631-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/MEMBER",
        "authorized_official_telephone_number": "405-631-4800",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "5894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.