Augusta Acquaah, DMD
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Oklahoma City, OK
NPI 1124766068 · NPPES record last updated May 20, 2022
Key facts
- NPI
- 1124766068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 251 (OK)
- Practice address
- 1024 SW 104TH St
Oklahoma City, OK 73139-2990 - Phone
- (405) 703-3527
- NPI assigned
- May 20, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Acquaah DMD PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Dental Depot Orthodontics South PLLC | Orthodontics and Dentofacial Orthopedics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 251 | OK | Yes |
Addresses
Primary practice location
1024 SW 104TH St
Oklahoma City, OK 73139-2990
Mailing address
3915 Gavick CV
Memphis, TN 38125-2868
Other providers in Oklahoma City, OK
- Elizabeth K Acoltzin
- Jennifer Acosta Lopez
- Jessica M Acosta
- Kelly Acosta
- Tobias Cesar Acosta
- Joseph Acquaviva III
- Patricia Cox Acree
- Acs Medical LLC
- Action Concepts, Inc
- Action Optical, Inc.
All providers in Oklahoma City, OK · Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.