NPI 1225417207

Redbud Dental Midwest City

Organisation Health Maintenance Organization Midwest City, OK

Practice location

Address: 101 N Douglas Blvd STE T, Midwest City, OK 73130-3329
Phone: (405) 888-5379

Authorised official

Name: Adam C Brewer
Title: Owner/Dentist
Phone: (405) 888-5379

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 1223G0001X (OK)

Other Health Maintenance Organization providers in Oklahoma →

Registry record

NPI: 1225417207
Entity type: Organization
NPI issued: 25 May 2015
Record last updated: 25 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.