Mobile Dental Services, LLC
Organization Active NPI General Practice Dentistry · Stroud, OK
NPI 1598828477 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1598828477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5809 (OK)
- Legal business name
- MOBILE DENTAL SERVICES, LLC
- Practice address
- 615 E 17TH St
Stroud, OK 74079-5316 - Phone
- (918) 706-5584
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Ayan Lawson, D.M.D.
- Title
- President
- Phone
- (918) 706-5584
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 5809 | OK | Yes |
Addresses
Primary practice location
615 E 17TH St
Stroud, OK 74079-5316
Mailing address
615 E 17TH St
Stroud, OK 74079-5316
Phone (918) 706-5584
Other providers in Stroud, OK
- Kristie Michelle McGuire
- Andrea Kay McKee
- Khristal Dawn McLeod
- Debra Kay Mee
- Stacie Marie Miller
- Timothy Dean Moore
- Amber Dawn Morgan
- Ashlee Dawn Morgan
- Aislinn Mae Munson
- John Daniel Neal
All providers in Stroud, 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 Aug 22, 2020. 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.