Rasila Bhakta, D.D.S.
Individual provider Active NPI Dentist · Chickasha, OK
NPI 1639110489 · NPPES record last updated Jul 30, 2009
Key facts
- NPI
- 1639110489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4961 (OK)
- Practice address
- 1000 W Choctaw Ave
Suite 10
Chickasha, OK 73018-2256 - Phone
- (405) 224-0170
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rasila Bhakta D.D.S. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4961 | OK | Yes |
Addresses
Primary practice location
1000 W Choctaw Ave
Suite 10
Chickasha, OK 73018-2256
Mailing address
1000 W Choctaw Ave
Suite 10
Chickasha, OK 73018-2256
Phone (405) 224-0170
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2009. 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.