| Fairfax Dental Office Pllc | |
|
158 N 2nd St Fairfax OK 74637 | |
| (918) 642-3400 | |
| Not Available |
| Full Name | Fairfax Dental Office Pllc |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 158 N 2nd St, Fairfax, Oklahoma |
| Authorized Official Name and Position | Zane Grey Mills (DENTIST) |
| Authorized Official Contact | 9186423400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Dental Office Pllc 158 N 2nd St Fairfax OK 74637 Ph: (918) 642-3400 | Fairfax Dental Office Pllc 158 N 2nd St Fairfax OK 74637 Ph: (918) 642-3400 |
| NPI Number | 1992536478 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992536478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |