Provider Demographics
NPI:1225204993
Name:DR DANA B PRICE DDS PC
Entity Type:Organization
Organization Name:DR DANA B PRICE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-848-6744
Mailing Address - Street 1:5601 N CLASSEN BLVD
Mailing Address - Street 2:STE., 100
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:STE., 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5493261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK448783481-001OtherBLUE CROSS BLUE SHIELD
OK1611446OtherUNITED CONCORDIA