Coalgate Dental Clinic Pc | |
405 W Clay Coalgate OK 74538 | |
(580) 927-2331 | |
(580) 927-2332 |
Full Name | Coalgate Dental Clinic Pc |
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Speciality | Dentist |
Location | 405 W Clay, Coalgate, Oklahoma |
Authorized Official Name and Position | David A King (DENTIST PRESIDENT) |
Authorized Official Contact | 5809272331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coalgate Dental Clinic Pc 405 W Clay Coalgate OK 74538 Ph: (580) 927-2331 | Coalgate Dental Clinic Pc 405 W Clay Coalgate OK 74538 Ph: (580) 927-2331 |
NPI Number | 1972679074 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1972679074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5382 (Oklahoma) | Primary |