| 2j Dental Edge Of Norman Pllc | |
|
2400 12th Ave Ne Ste 140 Norman OK 73071-6841 | |
| (405) 310-5285 | |
| Not Available |
| Full Name | 2j Dental Edge Of Norman Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2400 12th Ave Ne Ste 140, Norman, Oklahoma |
| Authorized Official Name and Position | Joshua Brasher (PRESIDENT) |
| Authorized Official Contact | 4054746362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2j Dental Edge Of Norman Pllc 3901 E Covell Rd Edmond OK 73034-6909 Ph: (405) 474-6362 | 2j Dental Edge Of Norman Pllc 2400 12th Ave Ne Ste 140 Norman OK 73071-6841 Ph: (405) 310-5285 |
| NPI Number | 1578036562 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 01/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578036562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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