NPI 1528373867

Absolute Smiles Family Dentistry

Organisation Exclusive Provider Organization Tuttle, OK

Practice location

Address: 4800 E. Hwy. 37, Tuttle, OK 73089
Phone: (405) 381-0900

Authorised official

Name: Brian Gene Chastain
Title: Owner
Phone: (405) 381-0900

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5944 (OK)

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Registry record

NPI: 1528373867
Entity type: Organization
NPI issued: 11 Aug 2010
Record last updated: 11 Aug 2010

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.