| Collinsville Family Dentistry | |
|
1310 W Main St Collinsville OK 74021-3012 | |
| (918) 371-3774 | |
| (918) 371-5347 |
| Full Name | Collinsville Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1310 W Main St, Collinsville, Oklahoma |
| Authorized Official Name and Position | Melissa Sue Bowler (PRESIDENET) |
| Authorized Official Contact | 9183713774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collinsville Family Dentistry 1310 W Main St Collinsville OK 74021-3012 Ph: (918) 371-3774 | Collinsville Family Dentistry 1310 W Main St Collinsville OK 74021-3012 Ph: (918) 371-3774 |
| NPI Number | 1932374360 |
|---|---|
| Provider Enumeration Date | 04/27/2008 |
| Last Update Date | 06/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932374360 | NPI | - | NPPES |
| 1629080866 | Other | OK | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5715 (Oklahoma) | Primary |
Spring Dental Collinsville, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 W Main St, Collinsville, OK 74021 Phone: 918-371-3375 Fax: 918-371-4407 |