NPI 1255561791

Leisha V. Everett,dds,pc

Organisation General Practice Dentistry Mustang, OK

Practice location

Address: 1100 N Mustang Rd, Mustang, OK 73064-7201
Phone: (405) 376-6565
Fax: (405) 376-2443

Authorised official

Name: Leisha von Everett
Title: Owner
Phone: (405) 376-6565

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5108 (OK)

Other Dentist providers in Oklahoma →

Registry record

NPI: 1255561791
Entity type: Organization
NPI issued: 17 Jul 2009
Record last updated: 17 Jul 2009

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.