NPI 1104206887 PKL ORTHODONTICS, PC MOORE OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Pkl Orthodontics, Pc - NPI: 1104206887

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: PKL ORTHODONTICS, PC
NPI Number: 1104206887
Entity Type Code: Organizational (2)
Authorized Official Name: PRISCILLA PICKENS-LARSON
(OWNER/ ORTHODONTIST)
Mailing Address: 717 S I 35 Service Rd Ste C
Moore
State: OK US
Postal Code: 731603190
Phone Number: 4053784774
Fax Number:
NPI Enumeration Date: 06/08/2015
NPI Last Update Date: 06/08/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QD0000X
License Number: 189
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OK
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Dental
Taxonomy Definition:


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