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

Dr. Cody Duc Van

Individual provider General Practice Dentistry · NPI 1295628659

Dr. Cody Duc Van is a General Practice Dentistry in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

1950 W Kenosha St
Broken Arrow, OK 74012-8944
Phone: (918) 518-1526
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8055 (OK)

Record details

NPI number1295628659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address2219 E 11th St Unit 204, Tulsa, OK 74104-3641

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