| Aurora Pediatric Dentistry | |
|
3008 W Hefner Rd Oklahoma City OK 73120-5107 | |
| (918) 640-1092 | |
| Not Available |
| Full Name | Aurora Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3008 W Hefner Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Adam Richardson (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 9186401092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Pediatric Dentistry 2800 Still Meadow Rd Edmond OK 73013-6726 Ph: (918) 640-1092 | Aurora Pediatric Dentistry 3008 W Hefner Rd Oklahoma City OK 73120-5107 Ph: (918) 640-1092 |
| NPI Number | 1083325443 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083325443 | NPI | - | NPPES |
| 1346734431 | Medicaid | OK | |
| 1679073167 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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