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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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DEDEKE, ERIC MATTHEW       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: INTEGRIS FAMILY CARE LAKEPOINTE
10914 HEFNER POINTE DR.
SUITE 202
OKLAHOMA CITY OK 73120

Address last updated on 3/4/2024
Phone #: (405) 815-6840
Fax #: (405) 815-6839
County: OKLAHOMA
License: 24455
Dated: 5/19/2005
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Other Specialty
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1998
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
AMERICAN BOARD OF PREVENTIVE MEDICINE - Clinical Informatics
New Patients: Yes
Medicaid: No
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
INTEGRIS FAMILY CARE LAKEPOINTE
10914 HEFNER POINTE DR.
SUITE 202
OKLAHOMA CITY OK 73120

Phone #: (405) 815-6840
Fax #: (405) 815-6839
Mon:
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MICHELLE RENE DAWSON PA 2563
LACI LYN DUGUAY PA 1982
AMANDA PAYNE APRN 19244

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