| Breathe Modern Dentistry | |
|
101 E Albany St Ste 101 Broken Arrow OK 74012-8987 | |
| (918) 393-0070 | |
| (918) 380-0727 |
| Full Name | Breathe Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 E Albany St Ste 101, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Jordon C Smith (DENTIST/OWNER) |
| Authorized Official Contact | 9186989807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe Modern Dentistry 101 E Albany St Ste 101 Broken Arrow OK 74012-8987 Ph: (918) 393-0070 | Breathe Modern Dentistry 101 E Albany St Ste 101 Broken Arrow OK 74012-8987 Ph: (918) 393-0070 |
| NPI Number | 1356928519 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356928519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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