Dental Facial Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

DENTAL FACIAL IMAGING LLC

Practice address

1705 Renaissance Blvd
Suite 135
Edmond, OK 73013-3041

Phone

(405) 285-9697

Fax

(405) 285-6902

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Schiavo

Title

Managing Member

Phone

(405) 285-9697

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1295921286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 RENAISSANCE BLVD",
            "address_2": "SUITE 135",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133041",
            "telephone_number": "405-285-9697",
            "fax_number": "405-285-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 RENAISSANCE BLVD",
            "address_2": "SUITE 135",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133041",
            "telephone_number": "405-285-9697",
            "fax_number": "405-285-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL FACIAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHIAVO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-285-9697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Delong, OTA/L
• Sheila Delzeit, RN
• Baylea Dennett
• Jessica Marie Dennis, CCC-SLP
• Bailey Kathleen Dent, FNP
• Dental Inspirations LLC
• Dental Professionals of Ok, PC
• Dental Specialists of Edmond
• Dental Surgery Center of Edmond
• Elisa Depani-Sparkes, D.O.

• Radiology Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Radiology Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.