| Cowboy Dental Pllc | |
|
823 S Pine St Stillwater OK 74074-4350 | |
| (405) 372-1155 | |
| Not Available |
| Full Name | Cowboy Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 823 S Pine St, Stillwater, Oklahoma |
| Authorized Official Name and Position | Austin Brasher (MEMBER) |
| Authorized Official Contact | 4052502255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowboy Dental Pllc 2500 S Broadway Ste 350 Edmond OK 73013-4040 Ph: (580) 670-9100 | Cowboy Dental Pllc 823 S Pine St Stillwater OK 74074-4350 Ph: (405) 372-1155 |
| NPI Number | 1972289619 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972289619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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