Mullasseril Pc is a Orthodontics and Dentofacial Clinic in Shawnee, Oklahoma. It is located at 504 Shawnee Mall Dr, Shawnee, OK and its contact number is 405-878-8899. The authorized person for Mullasseril Pc is Dr. Anaita N Mullasseril
who is President of the clinic and their contact number is 405-878-8899. The primary license number for Mullasseril Pc is 172 (Orthodontics and Dentofacial Orthopedics) in Oklahoma.
Mullasseril Pc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Mullasseril Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mullasseril Pc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 504 Shawnee Mall Dr, Shawnee,
Oklahoma, 74804-1317 |
| Phone: | 405-878-8899 |
| Fax: | 405-878-8896 |
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: | Dr. Anaita N Mullasseril |
| Position: | President |
| Contact Number: | 405-878-8899 |
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 Mullasseril Pc clinic are as mentioned below.
| NPI Number: | 1922366475 |
| NPI Enumeration Date: | 02 May, 2012 |
| NPI Last Update On: | 04 Jul, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mullasseril Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | 172 | 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 |
| 200432170A | 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: | Mullasseril Pc
504 Shawnee Mall Dr,
Shawnee, Oklahoma |
| Zip: | 74804-1317 |
| Phone Number: | 405-878-8899 |
| Fax Number: | 405-878-8896 |
Patients can reach Mullasseril Pc at
504 Shawnee Mall Dr, Shawnee, Oklahoma or can
call to book an appointment on 405-878-8899.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.