| Elk Creek Dental Center, Pllc | |
|
300 N Garrett St Elk City OK 73644 | |
| (580) 225-1020 | |
| (580) 303-7299 |
| Full Name | Elk Creek Dental Center, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 N Garrett St, Elk City, Oklahoma |
| Authorized Official Name and Position | Nathaniel William Talley (OWNER/ DENTIST) |
| Authorized Official Contact | 5802251020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Creek Dental Center, Pllc 300 N Garrett St Elk City OK 73644 Ph: (580) 225-1020 | Elk Creek Dental Center, Pllc 300 N Garrett St Elk City OK 73644 Ph: (580) 225-1020 |
| NPI Number | 1992541601 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992541601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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