Provider Demographics
NPI:1215013321
Name:D & D SERVICES INC
Entity Type:Organization
Organization Name:D & D SERVICES INC
Other - Org Name:PREFERRED PEDIATRIC HOME HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-252-2000
Mailing Address - Street 1:12331 E 60TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-6904
Mailing Address - Country:US
Mailing Address - Phone:918-252-2000
Mailing Address - Fax:918-252-2007
Practice Address - Street 1:12331 E 60TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146
Practice Address - Country:US
Practice Address - Phone:918-252-2000
Practice Address - Fax:918-252-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2-4721333600000X, 3336C0004X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK3723726OtherNCPDP
OK100260990GMedicaid
OK100260990GMedicaid