Nicholas Busby, DDS Valid NPI
Individual provider · Public Health Dentistry · Okmulgee, OK
- NPI
- 1164097747
- Type
- Individual (Type 1)
- Primary specialty
- Public Health Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223D0001X
- License number
- 7414 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-05-25
- Last updated
- 2021-05-25
Practice location
1313 E 20th St
Okmulgee, OK 74447-6303
(918) 591-5721