NPI 1699935676

Evans Family Dentistry PLLC

Organisation Preferred Provider Organization Tulsa, OK

Practice location

Address: 8149 E 31st St STE D, Tulsa, OK 74145-1724
Phone: (918) 665-2676
Fax: (918) 641-5743

Authorised official

Name: Mary J Connaughton
Title: Office Manager
Phone: (918) 665-2676

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 3933 (OK)

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Registry record

NPI: 1699935676
Entity type: Organization
NPI issued: 12 Jun 2008
Record last updated: 16 Feb 2011

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.