| Derek R Mask Dds Pllc | |
|
2500 Mcgee Dr Ste 131 Norman OK 73072-6796 | |
| (405) 321-5143 | |
| (405) 321-5350 |
| Full Name | Derek R Mask Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2500 Mcgee Dr Ste 131, Norman, Oklahoma |
| Authorized Official Name and Position | Demetra Prater (OFFICE MANAGER) |
| Authorized Official Contact | 4053215143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek R Mask Dds Pllc 2500 Mcgee Dr Ste 131 Norman OK 73072-6796 Ph: (405) 321-5143 | Derek R Mask Dds Pllc 2500 Mcgee Dr Ste 131 Norman OK 73072-6796 Ph: (405) 321-5143 |
| NPI Number | 1326214214 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326214214 | NPI | - | NPPES |
| OK02809501 | Other | OK | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5489 (Oklahoma) | Primary |
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