Provider Demographics
NPI:1356402192
Name:NAUMAN, ANGIE KAY (DDS)
Entity type:Individual
Prefix:DR
First Name:ANGIE
Middle Name:KAY
Last Name:NAUMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9840 E 81ST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4585
Mailing Address - Country:US
Mailing Address - Phone:918-254-8686
Mailing Address - Fax:918-254-8647
Practice Address - Street 1:9840 E 81ST ST STE 101
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4585
Practice Address - Country:US
Practice Address - Phone:918-254-8686
Practice Address - Fax:918-254-8647
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5750122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist