| Eagle Creek Family Dentistry Pllc | |
|
4320 Mcauley Blvd Oklahoma City OK 73120-8386 | |
| (405) 622-5612 | |
| Not Available |
| Full Name | Eagle Creek Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4320 Mcauley Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Toni White (INSURANCE COORDINATOR) |
| Authorized Official Contact | 4058446333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Creek Family Dentistry Pllc 775 W Covell Rd Ste 160 Edmond OK 73003-2302 Ph: (405) 844-6333 | Eagle Creek Family Dentistry Pllc 4320 Mcauley Blvd Oklahoma City OK 73120-8386 Ph: (405) 622-5612 |
| NPI Number | 1306331194 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306331194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Wm Edward Holcomb Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6303 North Portland Ave #209, Oklahoma City, OK 73112 Phone: 405-942-7771 Fax: 405-942-7796 | |
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