Barry J Amos, DDS
Individual provider Active NPI Dentist · Oklahoma City, OK
NPI 1851480693 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851480693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5811 (OK)
- Practice address
- 4508 Memorial Cir
Oklahoma City, OK 73142-5003 - Phone
- (405) 748-5000
- Fax
- (405) 748-5341
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5811 | OK | Yes |
Addresses
Primary practice location
4508 Memorial Cir
Oklahoma City, OK 73142-5003
Mailing address
4508 Memorial Cir
Oklahoma City, OK 73142-5003
Phone (405) 748-5000
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.