Dedrick Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3050 Issued in OK

Legal business name

DEDRICK DENTAL LLC

Practice address

503 N. Main
Seiling, OK 73663

Phone

(580) 922-3162

Fax

(580) 922-3162

NPI assigned

Mar 18, 2010

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darrell R. Dedrick, DDSNPI 1861716243

Title

Dentist

Phone

(580) 922-3162

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, and the practitioner matching its NPPES authorized official.

• Darrell R Dedrick, DDS

  • Dentist
  • Seiling, OK
  • NPI 1861716243
  NPD (past) Authorized official

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1285958314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "SEILING",
            "state": "OK",
            "postal_code": "736630205",
            "telephone_number": "580-922-3162",
            "fax_number": "580-922-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N. MAIN",
            "city": "SEILING",
            "state": "OK",
            "postal_code": "73663",
            "telephone_number": "580-922-3162",
            "fax_number": "580-922-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDRICK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "DEDRICK",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "580-922-3162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cah Acquisition Company 9 LLC (SCH O/P Clinic)
• Cah Acquisition Company 9, LLC (Seiling Community Hospital)
• Cah Acquisition Company 9, LLC (Seiling Community Hospital)
• Micah R Cole
• Community Ambulance Service
• Darrell R Dedrick, DDS
• Lititia G Dowe, M.D.
• Kenneth Mark Duffy, M.D.
• Brandi Fisher, APRN
• Gail Patricia Girouard, MD

• General Practice Dentistry in Seiling, OK
• Providers in Seiling, OK by specialty
• General Practice Dentistry in Oklahoma

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