Ada Smile Place, PLLC
Organization Active NPI Dental Clinic/Center · Ada, OK
NPI 1316347016 · NPPES record last updated Aug 29, 2014
Key facts
- NPI
- 1316347016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 4105 (OK)
- Legal business name
- ADA SMILE PLACE, PLLC
- Practice address
- 1801 Arlington St
Ada, OK 74820-2814 - Phone
- (580) 332-1660
- Fax
- (580) 421-9009
- NPI assigned
- Aug 29, 2014
- Organization subpart
- No
Authorized official
- Name
- Benjamin Franklin Edwards III, D.D.S.
- Title
- Partner/Dentist
- Phone
- (580) 332-1660
Practitioners 3
-
Benjamin Franklin Edwards III, D.D.S.
-
Lindsey Edwards, RDH
National Provider Directory
Locations
1801 Arlington St
Ada, OK 74820
Phone (580) 332-1660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 4105 | OK | Yes |
| Dental Clinic/Center | 261QD0000X | 6279 | OK |
Addresses
Primary practice location
1801 Arlington St
Ada, OK 74820-2814
Mailing address
1801 Arlington St
Ada, OK 74820-2814
Phone (580) 332-1660
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2014. 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.