Provider Demographics
NPI:1336125392
Name:TURNER, ERNEST V (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:V
Last Name:TURNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12400 KINGSBROOK RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-5115
Mailing Address - Country:US
Mailing Address - Phone:405-843-0883
Mailing Address - Fax:405-848-7126
Practice Address - Street 1:1435 W BRITTON RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-1307
Practice Address - Country:US
Practice Address - Phone:405-848-7126
Practice Address - Fax:405-848-7126
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK39751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice