Dr. Alan Akio Miyake
Oral & Maxillofacial Surgeon
1201 N. Stonewall Ave Dcsb 206
Oklahoma City
, Oklahoma 73117-1214
Dr. Alan Akio Miyake
Oral & Maxillofacial Surgeon
1201 N. Stonewall Ave Dcsb 206
Oklahoma City
, Oklahoma 73117-1214
(405) 271-1134
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Alan Akio Miyake
- 1201 N. Stonewall Ave. Dcsb 206
- Oklahoma City, OK
- Zip : 73117-1214
- Fax : (405) 271-1134
- Phone : (405) 271-4441
Second Address
- Dr. Alan Akio Miyake
- 1201 N. Stonewall Ave Dcsb 206
- Oklahoma City, OK
- Zip : 73117-1214
- Phone : (405) 271-4441
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 22636 | OK |
National Provider Identifier
| NPI | 1124050208 |
|---|---|
| Provider Name | Dr. Alan Akio Miyake |
| First Address | Oklahoma City, OK 73117-1214 |
| Second Address | Oklahoma City, OK 73117-1214 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 20/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 22636 | MEDICAL LICENSE # (01) | OK |
| 5578 | DENTAL LICENSE # (01) | OK |
| G27178 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.