Provider Demographics
NPI:1477710713
Name:GEORGE J. NAIFEH, DDS
Entity Type:Organization
Organization Name:GEORGE J. NAIFEH, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:NAIFEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-755-3550
Mailing Address - Street 1:11900 N PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE A-5
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-7839
Mailing Address - Country:US
Mailing Address - Phone:405-755-3550
Mailing Address - Fax:405-755-3554
Practice Address - Street 1:11900 N PENNSYLVANIA AVE
Practice Address - Street 2:SUITE A-5
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-7839
Practice Address - Country:US
Practice Address - Phone:405-755-3550
Practice Address - Fax:405-755-3554
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
OK44231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1639111701OtherNPI TYPE I