Provider Demographics
NPI:1891981635
Name:C. KEN TEMPLETON, P.C.
Entity Type:Organization
Organization Name:C. KEN TEMPLETON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:KENNY
Authorized Official - Last Name:TEMPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-577-7744
Mailing Address - Street 1:125 EAST 3RD ST.
Mailing Address - Street 2:SUITE A
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034
Mailing Address - Country:US
Mailing Address - Phone:405-216-3735
Mailing Address - Fax:405-216-5363
Practice Address - Street 1:125 EAST 3RD ST.
Practice Address - Street 2:SUITE A
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034
Practice Address - Country:US
Practice Address - Phone:405-216-3735
Practice Address - Fax:405-216-5363
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C. KEN TEMPLETON, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-14
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK50871223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty