| Custom Dental Of Newcastle, Pllc | |
|
3290 N Tri-city Newcastle OK 73065 | |
| (405) 657-0038 | |
| Not Available |
| Full Name | Custom Dental Of Newcastle, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3290 N Tri-city, Newcastle, Oklahoma |
| Authorized Official Name and Position | Rene Rodgers (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4052826440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Dental Of Newcastle, Pllc 3290 N Tri-city Newcastle OK 73065 Ph: (405) 657-0038 | Custom Dental Of Newcastle, Pllc 3290 N Tri-city Newcastle OK 73065 Ph: (405) 657-0038 |
| NPI Number | 1871872135 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871872135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6098 (Oregon) | Primary |
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