Eric D. Kyrk, D.D.S.
Individual provider Active NPI General Practice Dentistry · Harrah, OK
NPI 1467583245 · NPPES record last updated Oct 2, 2007
Key facts
- NPI
- 1467583245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5790 (OK)
- Practice address
- 2405 Cappella Blvd.
Harrah, OK 73045 - Phone
- (405) 309-6013
- Fax
- (405) 309-6031
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 5790 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric D Kyrk DDS PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5790 | OK | Yes |
Addresses
Primary practice location
2405 Cappella Blvd.
Harrah, OK 73045
Mailing address
P.O. Box 1137
Harrah, OK 73045
Phone (405) 309-6013
Other providers in Harrah, OK
- Patricia Kay Jones
- Tiffany Keenum
- Lauren Kelley
- Keeli L Kessinger
- Denean Marie Knapp
- Katelin Kysar
- Cary L Lacefield
- Lakepointe Dental Clinic of Harrah, Inc.
- Stephanie Lynn Laverty
- Taylor Lewis
All providers in Harrah, OK · General Practice 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 Oct 2, 2007. 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.