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NPI 1164585519

IndividualActive

Paul Mullasseril, DDS

NPI 1164585519 · Prosthodontics · Oklahoma City, OK

Provider details

NPI number: 1164585519
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 5360 (OK)

Practice location

1201 N Stonewall Ave

Oklahoma City, OK 73117-1214

Phone: (405) 271-5714

Fax: (405) 271-2405

More OK providers

Mailing address

Po Box 26901

Oklahoma City, OK 73190-0001

Registry dates

Enumerated: 2006-12-18
Last updated: 2008-08-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Paul Mullasseril, DDS — NPI 1164585519, Oklahoma City, OK | NPI Central