| Endodontic Specialists Of Northeast Ok | |
|
5555 E 71st St Ste 9210 Tulsa OK 74136-6542 | |
| (918) 524-3366 | |
| (918) 524-3399 |
| Full Name | Endodontic Specialists Of Northeast Ok |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5555 E 71st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Armella Glenn (OFFICE MANAGER) |
| Authorized Official Contact | 9185243366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Specialists Of Northeast Ok 5555 E 71st St Ste 9210 Tulsa OK 74136-6542 Ph: (918) 524-3366 | Endodontic Specialists Of Northeast Ok 5555 E 71st St Ste 9210 Tulsa OK 74136-6542 Ph: (918) 524-3366 |
| NPI Number | 1790951614 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790951614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 5644 (Oklahoma) | Primary |
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