Dentrust Oklahoma, Pc | |
Bldg 1712 Macomb Rd Ft.still OK 73503-4533 | |
(267) 927-5000 | |
(267) 927-5000 |
Full Name | Dentrust Oklahoma, Pc |
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Speciality | Dentist - General Practice |
Location | Bldg 1712, Ft.still, Oklahoma |
Authorized Official Name and Position | Amanda Clark (CREDENTIALING) |
Authorized Official Contact | 8134514503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentrust Oklahoma, Pc 6097 Easton Rd Pipersville PA 18947-1810 Ph: (267) 927-5000 | Dentrust Oklahoma, Pc Bldg 1712 Macomb Rd Ft.still OK 73503-4533 Ph: (267) 927-5000 |
NPI Number | 1518598267 |
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Provider Enumeration Date | 01/31/2020 |
Last Update Date | 01/31/2020 |
Identifier | Type | State | Issuer |
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1518598267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |