Signature Dental, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5877 Issued in OK

Legal business name

SIGNATURE DENTAL, INC

Practice address

2620 NW Expressway
Suite E
Oklahoma City, OK 73112-7281

Phone

(405) 943-0123

Fax

(405) 945-0234

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kesa McConnell-Poore, D.D.S.

Title

Owner

Phone

(405) 943-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn My Nguyen, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1700314317
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1740455245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 NW EXPRESSWAY",
            "address_2": "SUITE E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127281",
            "telephone_number": "405-943-0123",
            "fax_number": "405-945-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 NW EXPRESSWAY",
            "address_2": "SUITE E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127281",
            "telephone_number": "405-943-0123",
            "fax_number": "405-945-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL-POORE",
        "authorized_official_first_name": "KESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-943-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "5877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200084850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Victoria Sigala, LD
• V Icente Cereaco Sigala, BHRS
• Kala Haiduk Sigler, M.D.
• Stacy Lyn Sigler, RDH
• Alixzandrea Lee Sigman
• Signature Hospice, LLC
• Signature Transformation Counseling Service LLC
• Sih Oklahoma PC
• Meredith Leigh Siharath, OTR/L
• Kermun Sihota, M.D

• Dental Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.