Provider Demographics
NPI:1427856459
Name:APPLETON, DEKOTA
Entity type:Individual
Prefix:
First Name:DEKOTA
Middle Name:
Last Name:APPLETON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 E CRUMP ST
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:OK
Mailing Address - Zip Code:73098-2037
Mailing Address - Country:US
Mailing Address - Phone:405-444-1472
Mailing Address - Fax:
Practice Address - Street 1:100 PLAZA RM 305
Practice Address - Street 2:
Practice Address - City:MADILL
Practice Address - State:OK
Practice Address - Zip Code:73446-2273
Practice Address - Country:US
Practice Address - Phone:580-257-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist