Brent Thomas Amaya, D.D.S.
Individual provider Active NPI General Practice Dentistry · Edmond, OK
NPI 1487942876 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1487942876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6273 (OK)
- Practice address
- 2616 Exchange Dr
Edmond, OK 73034-8652 - Phone
- (405) 697-3828
- Fax
- (405) 697-3829
- NPI assigned
- Jul 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 6273 | OK | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6273 | OK | Yes |
Addresses
Primary practice location
2616 Exchange Dr
Edmond, OK 73034-8652
Mailing address
2616 Exchange Dr
Edmond, OK 73034-8652
Phone (405) 697-3828
Other providers in Edmond, OK
- Veronica Alvarado
- Andrea Alvarez
- Shawna Alvarez
- Erin Kimberly Alward
- Jenis Amanullah
- Amer B Nouh MD PLLC
- American Current Care P.a.
- American Medical Response Ambulance Service Inc
- Ameriryde
- Amie E Prough MD PLLC
All providers in Edmond, 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 May 5, 2021. 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.