Provider Demographics
NPI:1720302359
Name:KARI E. BENDER, DDS, PC
Entity Type:Organization
Organization Name:KARI E. BENDER, DDS, PC
Other - Org Name:FORTH & BENDER DENTAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:E
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-341-9351
Mailing Address - Street 1:1219 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5708
Mailing Address - Country:US
Mailing Address - Phone:405-341-9351
Mailing Address - Fax:405-341-2943
Practice Address - Street 1:1219 E 9TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5708
Practice Address - Country:US
Practice Address - Phone:405-341-9351
Practice Address - Fax:405-341-2943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty