Provider Demographics
NPI:1396015681
Name:TENNILLE L. CHEEK-COVEY, D.D.S., PLLC
Entity Type:Organization
Organization Name:TENNILLE L. CHEEK-COVEY, D.D.S., PLLC
Other - Org Name:PRECISION DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TENNILLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHEEK-COVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-733-1641
Mailing Address - Street 1:800 S DOUGLAS BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-4215
Mailing Address - Country:US
Mailing Address - Phone:405-733-1641
Mailing Address - Fax:405-733-0172
Practice Address - Street 1:800 S DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-4215
Practice Address - Country:US
Practice Address - Phone:405-733-1641
Practice Address - Fax:405-733-0172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK55991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty