|
| |
|
2619 S Elm Pl Broken Arrow OK 74012-7878 | |
| (918) 872-0218 | |
| (918) 872-0892 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2619 S Elm Pl, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Sherrie Edmondson (SR MANAGER) |
| Authorized Official Contact | 6299995014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
63140 Britta St Ste D104 Bend OR 97703-5738 Ph: (629) 999-5014 | 2619 S Elm Pl Broken Arrow OK 74012-7878 Ph: (918) 872-0218 |
| NPI Number | 1386412328 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386412328 | NPI | - | NPPES |
Medical Consultant Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3309 W Princeton St, Broken Arrow, OK 74012 Phone: 419-819-9498 | |
Randy Fagan Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2221 W Washington St, Broken Arrow, OK 74012 Phone: 918-455-6406 Fax: 918-455-1856 | |
Family Dentistry Of Broken Arrow Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 S Elm Pl, Suite E, Broken Arrow, OK 74012 Phone: 918-455-3777 Fax: 918-451-6316 | |
Spring Dental-broken Arrow Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6416 S Elm Pl, Broken Arrow, OK 74011 Phone: 918-895-6568 |