Custom Dental South Oklahoma City is a Dental Clinic in Oklahoma City, Oklahoma. It is located at 6800 S Western Ave, Oklahoma City, OK and its contact number is 405-631-7571. The authorized person for Custom Dental South Oklahoma City is Carson Louis Nail
who is Dentist of the clinic and their contact number is 405-631-7571. Other organizations associated with this clinic are Custom Dental South Oklahoma City, Charles Guthrie Iii Dds Inc, The primary license number for Custom Dental South Oklahoma City is 6745 (Dentist) in Oklahoma. Custom Dental South Oklahoma City Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Custom Dental South Oklahoma City Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Custom Dental South Oklahoma City
Specialization:
Dentistry
Clinic Address:
6800 S Western Ave, Oklahoma City, Oklahoma, 73139-1809
Phone:
405-631-7571
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Carson Louis Nail
Position:
Dentist
Contact Number:
405-631-7571
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Custom Dental South Oklahoma City clinic are as mentioned below.
NPI Number:
1740653930
NPI Enumeration Date:
10 Nov, 2015
NPI Last Update On:
10 Nov, 2015
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Custom Dental South Oklahoma City
Dentistry
1740653930
Charles Guthrie Iii Dds Inc
General Practice Dentistry
1982861266
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Dental South Oklahoma City are as mentioned below.
Specialization
License Number
State
Status
Dentist
6745
Oklahoma
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200592780A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Custom Dental South Oklahoma City 6800 S Western Ave, Oklahoma City, Oklahoma
Zip:
73139-1809
Phone Number:
405-631-7571
Patients can reach Custom Dental South Oklahoma City at 6800 S Western Ave, Oklahoma City, Oklahoma or can call to book an appointment on 405-631-7571. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.