| Adolph Family Dentistry Inc | |
|
112 N Grand Okmulgee OK 74447 | |
| (918) 756-0270 | |
| (918) 756-0283 |
| Full Name | Adolph Family Dentistry Inc |
|---|---|
| Speciality | Dentist |
| Location | 112 N Grand, Okmulgee, Oklahoma |
| Authorized Official Name and Position | Gary Phillip Adolph (DOCTOR DENTAL SURGERY) |
| Authorized Official Contact | 9187560270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolph Family Dentistry Inc 112 N Grand Okmulgee OK 74447 Ph: (918) 756-0270 | Adolph Family Dentistry Inc 112 N Grand Okmulgee OK 74447 Ph: (918) 756-0270 |
| NPI Number | 1164535183 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164535183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4862 (Oklahoma) | Primary |
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