Affordable Dental
Organization Active NPI Dentist · Ponca City, OK
NPI 1639601859 · NPPES record last updated Mar 28, 2017
Key facts
- NPI
- 1639601859
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 5037 (OK)
- Legal business name
- AFFORDABLE DENTAL
- Practice address
- 1618 N 5TH St Ste 4
Ponca City, OK 74601 - Phone
- (580) 765-0112
- Fax
- (580) 762-5644
- NPI assigned
- Mar 28, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- FAMILY DENTISTRY
Authorized official
- Name
- Dr. Quint Whitefield, DDS
- Title
- Owner/Dentist
- Phone
- (580) 762-5624
National Provider Directory
- Part of
- Family Dentistry
Locations
1618 N 5th St
Ste 4
Ponca City, OK 74601
Phone (580) 762-5335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 5037 | OK | Yes |
Addresses
Primary practice location
1618 N 5TH St Ste 4
Ponca City, OK 74601
Mailing address
1618 N 5TH St Ste 4
Ponca City, OK 74601-2764
Phone (580) 765-0112
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2017. 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.