Provider Demographics
NPI:1134130404
Name:PRICE, DANA B (DDS)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:B
Last Name:PRICE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 N CLASSEN BLVD
Mailing Address - Street 2:SUITE100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-4015
Mailing Address - Country:US
Mailing Address - Phone:405-848-6744
Mailing Address - Fax:405-848-3406
Practice Address - Street 1:5601 N CLASSEN BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-4015
Practice Address - Country:US
Practice Address - Phone:405-848-6744
Practice Address - Fax:405-848-3406
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK54931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice