Provider Demographics
NPI:1689350860
Name:PRESUTTI, HALEE REANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HALEE
Middle Name:REANN
Last Name:PRESUTTI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HALEE
Other - Middle Name:REANN
Other - Last Name:PRESUTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 NW 4TH ST APT 320
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1655
Mailing Address - Country:US
Mailing Address - Phone:602-821-1676
Mailing Address - Fax:
Practice Address - Street 1:1200 CHILDRENS AVE # 8F
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4637
Practice Address - Country:US
Practice Address - Phone:405-271-4750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK77221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice