Kurren Singh Virk, DMD
Individual provider Active NPI General Practice Dentistry · Chickasha, OK
NPI 1700518255 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1700518255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7628 (OK)
- Practice address
- 2900 W Grand Ave
Chickasha, OK 73018-5112 - Phone
- (405) 222-0222
- NPI assigned
- Jun 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 7628 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 29TH Street Dental Care | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7628 | OK | Yes |
Addresses
Primary practice location
2900 W Grand Ave
Chickasha, OK 73018-5112
Mailing address
86 Candleston PL
Alamo, CA 94507-1176
Phone (925) 683-1861
Other providers in Chickasha, OK
- Lee Vanderlugt
- Richard W Varley
- Paula M Veach
- Craig J Verdin
- Karen Verser
- Sylvester Vo
- W & L Nursing Homes LLC
- Wal-Mart Stores East LP
- Walgreen Co
- Justin K Wallace
All providers in Chickasha, 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 12, 2023. 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.