OrganizationActive
Ddsi South Aec LLC
NPI 1043253263 · Ambulatory Surgical Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1043253263
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Diana Mock, Director
- License
- 0075 (OK)
Practice location
4201 South Western
Ste. 4000
Oklahoma City, OK 73109-3410
Phone: (405) 632-4000
Fax: (405) 632-4073
Mailing address
4201 S Western Ave
Oklahoma City, OK 73109-3410
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2021-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.