Provider Demographics
NPI:1679565832
Name:RHONE, BERNARD C (DDS)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:C
Last Name:RHONE
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 1:2124 NE 23RD ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73111-3404
Mailing Address - Country:US
Mailing Address - Phone:405-424-1401
Mailing Address - Fax:405-424-1404
Practice Address - Street 1:2124 NE 23RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73111-3404
Practice Address - Country:US
Practice Address - Phone:405-424-1401
Practice Address - Fax:405-424-1404
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-12
Provider Licenses
StateLicense IDTaxonomies
OK51251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice