Advantage Dental PLLC

Organization Active NPI General Practice Dentistry · Bixby, OK

NPI 1265609192 · NPPES record last updated Dec 10, 2018

Key facts

NPI
1265609192
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
5870 (OK)
Legal business name
ADVANTAGE DENTAL PLLC
Practice address
11907 S Memorial Dr Ste B
Bixby, OK 74008-2045
Phone
(918) 394-0303
NPI assigned
May 9, 2008
Organization subpart
No

Authorized official

Name
Dr. Jason A Knapp, D.D.S.
Title
Owner/Doctor
Phone
(918) 394-0303

National Provider Directory

Locations

11907 S Memorial Dr
Ste B
Bixby, OK 74008
Phone (918) 394-0303

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 5870 OK Yes

Addresses

Primary practice location

11907 S Memorial Dr Ste B
Bixby, OK 74008-2045

Mailing address

11907 S Memorial Dr Ste B
Bixby, OK 74008-2045
Phone (918) 394-0303

Other providers in Bixby, OK

All providers in Bixby, OK · General Practice Dentistry in Oklahoma

Sources for this page

Verify at the official NPI Registry.