| Carrie L. Chastain D.d.s. Pc | |
|
702 E Park St Enid OK 73701-5930 | |
| (580) 233-2044 | |
| Not Available |
| Full Name | Carrie L. Chastain D.d.s. Pc |
|---|---|
| Speciality | Dentist |
| Location | 702 E Park St, Enid, Oklahoma |
| Authorized Official Name and Position | Paula Boler (OFFICE MANAGER) |
| Authorized Official Contact | 5802332044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie L. Chastain D.d.s. Pc 702 E Park St Enid OK 73701-5930 Ph: (580) 233-2044 | Carrie L. Chastain D.d.s. Pc 702 E Park St Enid OK 73701-5930 Ph: (580) 233-2044 |
| NPI Number | 1275861726 |
|---|---|
| Provider Enumeration Date | 11/20/2009 |
| Last Update Date | 11/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275861726 | NPI | - | NPPES |
| 200064070A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5781 (Oklahoma) | Primary |
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Dental Arts Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 W Broadway Ave, Enid, OK 73701 Phone: 580-234-4562 Fax: 580-233-1190 | |
John A. Thomas Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 S. Harding, Enid, OK 73703 Phone: 580-233-2194 | |
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