Provider Demographics
NPI:1457765208
Name:RBMWC, LLC
Entity Type:Organization
Organization Name:RBMWC, LLC
Other - Org Name:REDBUD DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-888-5379
Mailing Address - Street 1:101 N DOUGLAS BLVD
Mailing Address - Street 2:STE T
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-3329
Mailing Address - Country:US
Mailing Address - Phone:405-888-5379
Mailing Address - Fax:
Practice Address - Street 1:101 N DOUGLAS BLVD
Practice Address - Street 2:STE T
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-3329
Practice Address - Country:US
Practice Address - Phone:405-888-5379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6111122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty