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

Ddsi South Aec LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1043253263

Ddsi South Aec LLC is an Ambulatory Surgical Clinic/Center in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4201 S Western Ste 4000
Oklahoma City, OK 73109-3410
Phone: (405) 632-4000
Fax: (405) 632-4073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 0075 (OK)

Record details

NPI number1043253263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Mock — Director · (405) 767-6630
Other names Ddsi South Aec Llc
NPI enumeratedJune 14, 2006
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing address4201 S Western Ave, Oklahoma City, OK 73109-3410

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