Provider Demographics
NPI:1568968170
Name:INSPIRE DENTAL PLLC
Entity Type:Organization
Organization Name:INSPIRE DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-994-2100
Mailing Address - Street 1:2311 N 9TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-2887
Mailing Address - Country:US
Mailing Address - Phone:918-629-3810
Mailing Address - Fax:918-994-2101
Practice Address - Street 1:2311 N 9TH ST STE 101
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-2887
Practice Address - Country:US
Practice Address - Phone:918-994-2100
Practice Address - Fax:918-994-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6828261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental