Family Smiles Dentistry, Pllc | |
300 N Aspen Ave Broken Arrow OK 74012-2205 | |
(918) 251-3333 | |
Not Available |
Full Name | Family Smiles Dentistry, Pllc |
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Speciality | Dentist - General Practice |
Location | 300 N Aspen Ave, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Evan Dale Clothier (OWNER) |
Authorized Official Contact | 9182513333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Smiles Dentistry, Pllc 16534 E 49th Pl Tulsa OK 74134-7190 Ph: (918) 251-8999 | Family Smiles Dentistry, Pllc 300 N Aspen Ave Broken Arrow OK 74012-2205 Ph: (918) 251-3333 |
NPI Number | 1710010285 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1710010285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5817 (Oklahoma) | Primary |
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