NPI 1689858698
DDS Dental PC
Practice location
- Address
- 210 N. Mustang Road, Mustang, OK 73064
- Phone
- (405) 256-0500
Authorised official
- Name
- Sidney Lee Johnson
- Title
- Dentist
- Phone
- (405) 256-0500
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1689858698
- Entity type
- Organization
- NPI issued
- 27 Dec 2007
- Record last updated
- 27 Dec 2007
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.