Dewey Dental, Pllc | |
417 E Don Tyler Ave Dewey OK 74029-2315 | |
(918) 534-3170 | |
Not Available |
Full Name | Dewey Dental, Pllc |
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Speciality | Clinic/center - Dental |
Location | 417 E Don Tyler Ave, Dewey, Oklahoma |
Authorized Official Name and Position | Nathan T Bulleigh (PRESIDENT/DENTIST) |
Authorized Official Contact | 9185343170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dewey Dental, Pllc 417 E Don Tyler Ave Dewey OK 74029-2315 Ph: (918) 534-3170 | Dewey Dental, Pllc 417 E Don Tyler Ave Dewey OK 74029-2315 Ph: (918) 534-3170 |
NPI Number | 1396186169 |
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Provider Enumeration Date | 07/09/2013 |
Last Update Date | 07/28/2016 |
Identifier | Type | State | Issuer |
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1396186169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 6473 (Oklahoma) | Primary |