Provider Demographics
NPI:1740368026
Name:D & D SERVICES
Entity type:Organization
Organization Name:D & D SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-252-2000
Mailing Address - Street 1:12331 E 60TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-6904
Mailing Address - Country:US
Mailing Address - Phone:918-252-2000
Mailing Address - Fax:918-252-2007
Practice Address - Street 1:720 NE 63RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-6410
Practice Address - Country:US
Practice Address - Phone:405-848-7337
Practice Address - Fax:405-848-7338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7177332B00000X
OK15033333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100260990HMedicaid
3724398OtherNCPDP
3724398OtherNCPDP