| Elk City Dental Group Pllc | |
|
1011 N Main St Elk City OK 73644-2830 | |
| (580) 225-1232 | |
| Not Available |
| Full Name | Elk City Dental Group Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1011 N Main St, Elk City, Oklahoma |
| Authorized Official Name and Position | Joshua Brasher (PRESIDENT) |
| Authorized Official Contact | 4054746362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk City Dental Group Pllc 3901 E Covell Rd Edmond OK 73034-6909 Ph: (405) 474-6362 | Elk City Dental Group Pllc 1011 N Main St Elk City OK 73644-2830 Ph: (580) 225-1232 |
| NPI Number | 1245892926 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245892926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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