| Eagle Dental Corp Inc | |
|
6520 East Reno Midwest City OK 73110-2109 | |
| (405) 732-6821 | |
| (405) 732-7970 |
| Full Name | Eagle Dental Corp Inc |
|---|---|
| Speciality | Dentist |
| Location | 6520 East Reno, Midwest City, Oklahoma |
| Authorized Official Name and Position | Mary E Martin (CEO VICE PRESIDENT) |
| Authorized Official Contact | 4057326821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Dental Corp Inc 6520 East Reno Midwest City OK 73110-2109 Ph: (405) 732-6821 | Eagle Dental Corp Inc 6520 East Reno Midwest City OK 73110-2109 Ph: (405) 732-6821 |
| NPI Number | 1235141029 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235141029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4594 (Oklahoma) | Primary |
| 122300000X | Dentist | 4609 (Oklahoma) | Secondary |
Epic Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2828 Parklawn Dr Ste 7, Midwest City, OK 73110 Phone: 405-732-2660 | |
Dugan Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8827 E Reno Ave, Suite #202, Midwest City, OK 73110 Phone: 405-732-8999 | |
Steven M. Raney, Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 S Post Rd, #3, Midwest City, OK 73130 Phone: 405-737-2151 Fax: 405-737-2175 | |
Gentle Dental Mid Del City Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 S Air Depot Blvd, Midwest City, OK 73110 Phone: 405-733-0002 Fax: 405-741-2230 | |
Dentistry By Design Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7215 E Reno Ave, Midwest City, OK 73110 Phone: 405-737-5905 Fax: 405-739-0328 | |
Diamond Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1991 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-737-6622 |