Provider Demographics
NPI:1841846474
Name:DESIGNS IN DENTISTRY
Entity type:Organization
Organization Name:DESIGNS IN DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:AMOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-748-5000
Mailing Address - Street 1:14810 SERENITA AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134
Mailing Address - Country:US
Mailing Address - Phone:405-748-5000
Mailing Address - Fax:405-748-5341
Practice Address - Street 1:14810 SERENITA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134
Practice Address - Country:US
Practice Address - Phone:405-748-5000
Practice Address - Fax:405-748-5341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK5811OtherSTATE LICENSE
OKBA9443223OtherDEA LICENSE