Dentrust Oklahoma, Pc | |
3360 N Ave Bldg 685 Tinker Afb OK 73145-9028 | |
(267) 927-5000 | |
(267) 927-5001 |
Full Name | Dentrust Oklahoma, Pc |
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Speciality | Dentist - General Practice |
Location | 3360 N Ave Bldg 685, Tinker Afb, Oklahoma |
Authorized Official Name and Position | Amanda Clark (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 2673625938 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentrust Oklahoma, Pc 3360 N Ave Bldg 685 Tinker Afb OK 73145-9028 Ph: (267) 927-5000 | Dentrust Oklahoma, Pc 3360 N Ave Bldg 685 Tinker Afb OK 73145-9028 Ph: (267) 927-5000 |
NPI Number | 1407560535 |
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Provider Enumeration Date | 01/12/2023 |
Last Update Date | 01/12/2023 |
Identifier | Type | State | Issuer |
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1407560535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |