Provider Demographics
NPI:1063849966
Name:BEE SMILES DENTISTRY PLLC
Entity Type:Organization
Organization Name:BEE SMILES DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUE
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:ABER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-634-2313
Mailing Address - Street 1:6521 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-1714
Mailing Address - Country:US
Mailing Address - Phone:405-634-2313
Mailing Address - Fax:405-634-0474
Practice Address - Street 1:6521 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1714
Practice Address - Country:US
Practice Address - Phone:405-634-2313
Practice Address - Fax:405-634-0474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK52681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty