| Eastern Oklahoma Dental Institute | |
|
5196 S Yale Ave Tulsa OK 74135-7432 | |
| (918) 664-1888 | |
| (918) 664-9037 |
| Full Name | Eastern Oklahoma Dental Institute |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5196 S Yale Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Eric Wayne Wyatt (PRESIDENT) |
| Authorized Official Contact | 9186641888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Oklahoma Dental Institute Po Box 3040 Broken Arrow OK 74013-3040 Ph: (918) 664-1888 | Eastern Oklahoma Dental Institute 5196 S Yale Ave Tulsa OK 74135-7432 Ph: (918) 664-1888 |
| NPI Number | 1730264433 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730264433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5301 (Oklahoma) | Primary |
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