29TH Street Dental Care
Organization Active NPI General Practice Dentistry · Chickasha, OK
NPI 1912450842 · NPPES record last updated Jul 27, 2016
Key facts
- NPI
- 1912450842
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- 29TH STREET DENTAL CARE
- Practice address
- 2900 W Grand Ave
Chickasha, OK 73018-5112 - Phone
- (405) 222-0222
- Fax
- (405) 222-0210
- NPI assigned
- Jul 27, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. John C Phillips III, D.D.S.
- Title
- Owner
- Phone
- (405) 222-0222
Practitioners 5
-
Londan Davis, DDS
-
Justin McClanahan, DDS
-
Tejal Patel, DDS
-
John C. Phillips III, DDS
-
Kurren Singh Virk, DMD
National Provider Directory
Locations
2900 W Grand Ave
Chickasha, OK 73018
Phone (405) 222-0222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
2900 W Grand Ave
Chickasha, OK 73018-5112
Mailing address
2900 W Grand Ave
Chickasha, OK 73018-5112
Phone (405) 222-0222
Other providers in Chickasha, OK
- 29TH Street Therapy
- 29TH Street Therapy Center
- A Premier Senior Home Care Acquisitions, LLC
- A Premier Senior Home Care Acquisitions, LLC
- A Premier Senior Home Care Acquisitions, LLC
All providers in Chickasha, OK · General Practice Dentistry 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 27, 2016. 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.