Douglas Kooken, DDS

NPI 1275190639 · on the registry since 2019 · sole proprietor

Practice

Address: 1950 W Kenosha St
Broken Arrow, OK 74012
Phone: (918) 638-6767
Organisation at this address: Dental Depot Of Broken Arrow, Pllc
Dental Depot Orthodontics Broken Arrow, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma