Ford Dental Lab Inc

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

DL65 Issued in OK

Legal business name

FORD DENTAL LAB INC

Practice address

2828 NW 57TH St
307
Oklahoma City, OK 73112-6814

Phone

(405) 887-0502

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Victor Leon Stolbach

Title

Partner

Phone

(405) 887-0502

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1861930430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 NW 57TH ST STE 307",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-795-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 NW 57TH ST",
            "address_2": "307",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126814",
            "telephone_number": "405-887-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD DENTAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "STOLBACH",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "405-887-0502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "OK",
            "license": "DL65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Foote, PT, DPT
• For the Health of It, Inc.
• Kristen G Forbes, RN, RD/LD
• Megan Forbes, RN
• Taylor Deann Forbes
• Kassidy Taylor Ford Holdmeyer, PA
• Ashley Ford, D.O.
• Ashley Nicole Ford
• Carletta Ford, BA IN PSYCHOLOGY
• Desirae Jo Ford, ARNP-CNP

• Dental Laboratory in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dental Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.