Organization Name: | JEFFREY C. DANNER, DDS, PLLC |
NPI Number: | 1417122276 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY CARL DANNER (DDS, PLLC) |
Mailing Address: | 901 Hospital Cir Kingfisher |
State: | OK US |
Postal Code: | 737505006 |
Phone Number: | 4053753857 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 09/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |