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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CODY DUC VAN

Active Sole Proprietor

General Dentistry · BROKEN ARROW, OK

Registration Details

NPI Number
1295628659
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2025 (0.92112256607074 yrs)
Last Updated
Jun 2, 2025
License
8055 (OK)
Sole Proprietor
Yes

Practice Information

Address
1950 W KENOSHA ST
BROKEN ARROW, OK, 740128944
Browse OK providers · Browse ZIP 74012
Phone
9185181526
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in BROKEN ARROW, OK

Name Credential NPI
DR. PATRICIA DEANNE CANNON D.D.S. 1063404176
DR. WESLEY MARK HODGE DMD 1861464687
DR. ROBERT BLAINE MONGRAIN JR. DMD 1598731655
DR. EVAN DALE CLOTHIER D.D.S. 1043261753
DR. STEVE E DEEM DDS 1477505253
DR. MICHAEL ARIANA DDS 1851348221
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.