Dr. Leon Douglas Bragg SR.
Dental Public Health
1321 Ne 54th St
Oklahoma City
, Oklahoma 73111-6611
Dr. Leon Douglas Bragg SR.
Dental Public Health
1321 Ne 54th St
Oklahoma City
, Oklahoma 73111-6611
(405) 530-7121
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Leon Douglas Bragg SR.
- 1321 Ne 54th St
- Oklahoma City, OK
- Zip : 73111-6611
- Fax : (405) 530-7121
- Phone : (405) 427-5309
Second Address
- Dr. Leon Douglas Bragg SR.
- 1321 Ne 54th St
- Oklahoma City, OK
- Zip : 73111-6611
- Fax : (405) 530-7121
- Phone : (405) 427-5309
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Is Dr. Leon Douglas Bragg SR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 3897 | OK |
National Provider Identifier
| NPI | 1639186729 |
|---|---|
| Provider Name | Dr. Leon Douglas Bragg SR. |
| First Address | Oklahoma City, OK 73111-6611 |
| Second Address | Oklahoma City, OK 73111-6611 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 08/07/2007 |
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.