Canadian Valley Dentistry PLLC
Organization Active NPI Dental Clinic/Center · El Reno, OK
NPI 1720437296 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1720437296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 6815 (OK)
- Legal business name
- CANADIAN VALLEY DENTISTRY PLLC
- Practice address
- 705 Eagle Circle
El Reno, OK 73036-2150 - Phone
- (405) 262-6677
- Fax
- (405) 262-1235
- NPI assigned
- Jun 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Ray Dean Tate, D.D.S.
- Title
- Dentist
- Phone
- (405) 262-6677
Practitioners 1
-
Ray Dean Tate, DDS
National Provider Directory
Locations
705 Eagle Cir
El Reno, OK 73036
Phone (405) 262-6677
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Dental Clinic/Center | 261QD0000X | 6815 | OK | Yes |
Addresses
Primary practice location
705 Eagle Circle
El Reno, OK 73036-2150
Mailing address
705 Eagle Circle
El Reno, OK 73036-2150
Phone (405) 262-6677
Other providers in El Reno, OK
- Theresa Arlene Byard
- Shalyn Marie May Cagle
- Canadian County
- Canadian County Children'S Justice Center
- Canadian Valley Clinic Inc
- Canadian Valley RX, Inc.
- Carder Chiropractic Clinic, Inc.
- Lacey Ranay Carder
- Otto Arthur Cargill
- Robert Saul Castro
All providers in El Reno, OK · Dental Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. 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.