| Dental Depot Of 36th & Tecumseh, Pllc | |
|
3401 W. Tecumseh Rd. Norman OK 73072 | |
| (405) 309-0123 | |
| (405) 267-9202 |
| Full Name | Dental Depot Of 36th & Tecumseh, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3401 W. Tecumseh Rd., Norman, Oklahoma |
| Authorized Official Name and Position | Glenn Allan Ashmore (PRESIDENT) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of 36th & Tecumseh, Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (405) 945-8941 | Dental Depot Of 36th & Tecumseh, Pllc 3401 W. Tecumseh Rd. Norman OK 73072 Ph: (405) 309-0123 |
| NPI Number | 1508363771 |
|---|---|
| Provider Enumeration Date | 04/12/2018 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508363771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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