Provider Demographics
NPI:1407013808
Name:ADVANCES IN DENTISTRY
Entity Type:Organization
Organization Name:ADVANCES IN DENTISTRY
Other - Org Name:C. CORBYN RHODES AND ASSOCIATES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:CORBYN
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-751-6996
Mailing Address - Street 1:12320 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8604
Mailing Address - Country:US
Mailing Address - Phone:405-751-6996
Mailing Address - Fax:405-755-8679
Practice Address - Street 1:12320 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8604
Practice Address - Country:US
Practice Address - Phone:405-751-6996
Practice Address - Fax:405-755-8679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK51931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty