| Ambrose Dental Office | |
|
1410 1/2 N Louis Tittle Ave Mangum OK 73554-2218 | |
| (580) 782-5513 | |
| (580) 782-5156 |
| Full Name | Ambrose Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 1410 1/2 N Louis Tittle Ave, Mangum, Oklahoma |
| Authorized Official Name and Position | James K. Ambrose (OWNER) |
| Authorized Official Contact | 5807825513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambrose Dental Office Po Box 326 Mangum OK 73554-0326 Ph: (580) 782-5513 | Ambrose Dental Office 1410 1/2 N Louis Tittle Ave Mangum OK 73554-2218 Ph: (580) 782-5513 |
| NPI Number | 1588981104 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 04/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588981104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4334 (Oklahoma) | Primary |
Ez Sleep Solutions, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 E. Jefferson, Mangum, OK 73554 Phone: 590-782-2552 | |
Altus Mangum Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 N Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-5513 Fax: 580-782-5156 |