Provider Demographics
NPI:1427499888
Name:ENCE, ERYN (DMD)
Entity type:Individual
Prefix:DR
First Name:ERYN
Middle Name:
Last Name:ENCE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 NE 2ND ST APT 451
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-2269
Mailing Address - Country:US
Mailing Address - Phone:405-271-4148
Mailing Address - Fax:
Practice Address - Street 1:8490 S EASTERN AVE STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2806
Practice Address - Country:US
Practice Address - Phone:702-260-8241
Practice Address - Fax:702-260-8251
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS32741223X0400X
OK6440122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist