| Advantage Dental Group, Pllc | |
|
11907 S Memorial Dr Ste B Bixby OK 74008-2045 | |
| (918) 394-0303 | |
| Not Available |
| Full Name | Advantage Dental Group, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 11907 S Memorial Dr Ste B, Bixby, Oklahoma |
| Authorized Official Name and Position | Matt Hale (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental Group, Pllc 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: (214) 702-0720 | Advantage Dental Group, Pllc 11907 S Memorial Dr Ste B Bixby OK 74008-2045 Ph: (918) 394-0303 |
| NPI Number | 1063974640 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 04/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063974640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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