| Clinton Dental Group Pllc | |
|
810 W Gary Blvd Clinton OK 73601-2720 | |
| (580) 323-0763 | |
| Not Available |
| Full Name | Clinton Dental Group Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 W Gary Blvd, Clinton, Oklahoma |
| Authorized Official Name and Position | Joshua Brasher (MEMBER) |
| Authorized Official Contact | 4052502255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Dental Group Pllc 810 W Gary Blvd Clinton OK 73601-2720 Ph: (580) 323-0763 | Clinton Dental Group Pllc 810 W Gary Blvd Clinton OK 73601-2720 Ph: (580) 323-0763 |
| NPI Number | 1558139345 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558139345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
David L. Boone, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 S 30th St, Clinton, OK 73601 Phone: 580-323-1177 Fax: 580-323-1178 | |
Kyle L. Serfoss, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 W Gary Blvd, Clinton, OK 73601 Phone: 580-323-0763 Fax: 580-323-5532 | |
Devin P. Schoonmaker Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W Gary Blvd, Clinton, OK 73601 Phone: 580-323-7733 Fax: 580-323-7733 |