Casady Square Orthodontics | |
9405 N Pennsylvania Pl Casady Square Oklahoma City OK 73120-3801 | |
(405) 254-5094 | |
Not Available |
Full Name | Casady Square Orthodontics |
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Speciality | Dentist - General Practice |
Location | 9405 N Pennsylvania Pl, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Hannah Fish (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175405699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Casady Square Orthodontics 9405 N Pennsylvania Pl Casady Square Oklahoma City OK 73120-3801 Ph: () - | Casady Square Orthodontics 9405 N Pennsylvania Pl Casady Square Oklahoma City OK 73120-3801 Ph: (405) 254-5094 |
NPI Number | 1336569102 |
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Provider Enumeration Date | 04/21/2014 |
Last Update Date | 07/18/2016 |
Identifier | Type | State | Issuer |
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1336569102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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