Bisher Albiek

Individual provider Active NPI Dentist · Oklahoma City, OK

NPI 1902658032 · NPPES record last updated Jun 19, 2024

Key facts

NPI
1902658032
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
7918 (OK)
Practice address
25 N Rockwell Ave
Oklahoma City, OK 73127-6112
Phone
(405) 365-4456
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7918OKMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7918 OK Yes

Addresses

Primary practice location

25 N Rockwell Ave
Oklahoma City, OK 73127-6112

Mailing address

14401 Rosebay PL
Oklahoma City, OK 73142-1805

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Dentist in Oklahoma

Sources for this page

Verify at the official NPI Registry.