Oklahoma Dental Foundation

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

OKLAHOMA DENTAL FOUNDATION

Practice address

317 NE 13TH St
Oklahoma City, OK 73104-2835

Phone

(405) 848-8873

Fax

(405) 848-8875

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Goodman, DDS

Title

President

Phone

(405) 818-8873

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720141609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731042835",
            "telephone_number": "405-848-8873",
            "fax_number": "405-848-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731042835",
            "telephone_number": "405-848-8873",
            "fax_number": "405-848-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA DENTAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-818-8873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma CVS Pharmacy LLC
• Oklahoma CVS Pharmacy LLC
• Oklahoma CVS Pharmacy LLC
• Oklahoma CVS Pharmacy LLC
• Oklahoma CVS Pharmacy LLC
• Oklahoma Dental-Richmond Square
• Oklahoma Dental-South
• Oklahoma Department Mental Health and Substance Abuse
• Oklahoma Department of Mental and Substance Abuse Services
• Oklahoma Department of Mental Health and Substance Abuse

• All providers in Oklahoma City, OK
• Voluntary or Charitable Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.