Phillip J Elassal DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PHILLIP J ELASSAL DDS PLLC

Practice address

1601 SW 89TH Street #G500
Oklahoma City, OK 73159

Phone

(405) 682-0609

Fax

(405) 682-2921

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Phillip James Elassal, DDS

Title

Dentist

Phone

(405) 682-0609

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul A Heath, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1063496446
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1053959247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890910",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73189",
            "telephone_number": "405-682-0609",
            "fax_number": "405-682-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH STREET #G500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73159",
            "telephone_number": "405-682-0609",
            "fax_number": "405-682-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP J ELASSAL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "ELASSAL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-682-0609",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherine Philip, APRN-CNP
• Alvin J Philipose, DC
• Philomina Philipose, FNP
• Phillip B Brown MD PLLC
• Phillip Doerner Jr MD PC
• Phillippe Counseling & Consulting PLLC
• Tammy Phillips-Brookshire, OT ASSISTANT
• Shalonda R Phillips-Edwards
• Bretonya Janey Phillips-Johnson, M.D.
• Abigail Phillips

• Dental Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.