Aaron S Harman Dds Pc Inc Dba Lakeside Dental | |
302 S Hayes Wagoner OK 74467 | |
(918) 485-3371 | |
(918) 485-9175 |
Full Name | Aaron S Harman Dds Pc Inc Dba Lakeside Dental |
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Speciality | Dentist - General Practice |
Location | 302 S Hayes, Wagoner, Oklahoma |
Authorized Official Name and Position | Aaron Shay Harman (DENTIST PRESIDENT) |
Authorized Official Contact | 9184853371 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aaron S Harman Dds Pc Inc Dba Lakeside Dental 302 S Hayes Wagoner OK 74467 Ph: (918) 485-3371 | Aaron S Harman Dds Pc Inc Dba Lakeside Dental 302 S Hayes Wagoner OK 74467 Ph: (918) 485-3371 |
NPI Number | 1619143872 |
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Provider Enumeration Date | 05/07/2008 |
Last Update Date | 05/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619143872 | NPI | - | NPPES |
200001150A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5605 (Oklahoma) | Primary |
Wagoner Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Hayes Ave, Wagoner, OK 74467 Phone: 918-485-3371 | |
Wagoner Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Cherokee St, Wagoner, OK 74467 Phone: 918-485-2200 Fax: 918-485-8877 |