Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Board of Regents of Ok - Col of Dentistry Grad Perodontics

Organization Periodontics · NPI 1609142827

Board of Regents of Ok - Col of Dentistry Grad Perodontics is a Periodontics in Oklahoma City, Oklahoma. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1201 N Stonewall Ave Rm DCS253
Oklahoma City, OK 73117-1214
Phone: (405) 271-6531
Fax: (405) 271-2922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1609142827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Asch — Associate Director Resarch Admin · (405) 271-2090
Other names Col Of Dentistry Grad
NPI enumeratedApril 2, 2012
Last updated in NPPESApril 2, 2012
Mailing addressPo Box 26901, Oklahoma City, OK 73126-0901

Other providers in Oklahoma City