Brant Rouse Dds Plc | |
559 Meadow Creek Drive Tahlequah OK 74464-1088 | |
(918) 456-0977 | |
(855) 856-5958 |
Full Name | Brant Rouse Dds Plc |
---|---|
Speciality | Dentist |
Location | 559 Meadow Creek Drive, Tahlequah, Oklahoma |
Authorized Official Name and Position | Brant Philip Rouse (PRESIDENT) |
Authorized Official Contact | 9184560977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brant Rouse Dds Plc 559 Meadow Creek Drive Tahlequah OK 74464-1088 Ph: (918) 456-0977 | Brant Rouse Dds Plc 559 Meadow Creek Drive Tahlequah OK 74464-1088 Ph: (918) 456-0977 |
NPI Number | 1003131459 |
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Provider Enumeration Date | 03/29/2010 |
Last Update Date | 08/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003131459 | NPI | - | NPPES |
200081330A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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