| Dental Depot Of I-44 & Harvard, Pllc | |
|
4770 S. Harvard Ave. Tulsa OK 74135-3024 | |
| (918) 742-2123 | |
| (918) 742-2124 |
| Full Name | Dental Depot Of I-44 & Harvard, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4770 S. Harvard Ave., Tulsa, Oklahoma |
| Authorized Official Name and Position | Glenn Allan Ashmore (PRESIDENT / OWNER) |
| Authorized Official Contact | 9187422123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of I-44 & Harvard, Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (918) 742-2123 | Dental Depot Of I-44 & Harvard, Pllc 4770 S. Harvard Ave. Tulsa OK 74135-3024 Ph: (918) 742-2123 |
| NPI Number | 1548779135 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548779135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3723 (Oklahoma) | Primary |
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