Downtown Dental | |
1204 E Main St Suite F Weatherford OK 73096-5770 | |
(580) 772-7747 | |
(580) 772-7750 |
Full Name | Downtown Dental |
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Speciality | Dentist |
Location | 1204 E Main St, Weatherford, Oklahoma |
Authorized Official Name and Position | Stephen Mark Meacham (SOLE MEMBER) |
Authorized Official Contact | 5807727747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Downtown Dental 1204 E Main St Suite F Weatherford OK 73096-5770 Ph: (580) 772-7747 | Downtown Dental 1204 E Main St Suite F Weatherford OK 73096-5770 Ph: (580) 772-7747 |
NPI Number | 1093942971 |
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Provider Enumeration Date | 06/17/2009 |
Last Update Date | 06/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093942971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5983 (Oklahoma) | Primary |
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