| C.brant Worthington Ddd Inc. | |
|
7901 Ne 10th St Suite 103 Oklahoma City OK 73110-3600 | |
| (405) 737-0404 | |
| (405) 737-0934 |
| Full Name | C.brant Worthington Ddd Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7901 Ne 10th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | C. Brant Worthington (DENTIST) |
| Authorized Official Contact | 4057370404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C.brant Worthington Ddd Inc. 7901 Ne 10th St Suite 103 Oklahoma City OK 73110-3600 Ph: (405) 737-0404 | C.brant Worthington Ddd Inc. 7901 Ne 10th St Suite 103 Oklahoma City OK 73110-3600 Ph: (405) 737-0404 |
| NPI Number | 1477727568 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477727568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5-3257 (Oklahoma) | Primary |
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