1366552937 NPI number — JOSEPH L PROSKOVEC DDS PC INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366552937 NPI number — JOSEPH L PROSKOVEC DDS PC INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOSEPH L PROSKOVEC DDS PC INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366552937
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6139 EAST 91ST STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TULSA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74137-3104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-491-7313
Provider Business Mailing Address Fax Number:
918-491-7314

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6139 EAST 91ST STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74137-3104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-491-7313
Provider Business Practice Location Address Fax Number:
918-491-7314
Provider Enumeration Date:
08/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PROSKOVEC
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
PRESIDENT OWNER
Authorized Official Telephone Number:
918-491-7313

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  5030 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)