| Fort Gibson Family Dentistry Pc | |
|
801 S Lee St Suite A Fort Gibson OK 74434-8710 | |
| (918) 478-4433 | |
| (918) 478-4066 |
| Full Name | Fort Gibson Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 S Lee St, Fort Gibson, Oklahoma |
| Authorized Official Name and Position | Michael John Nelson (OWNER) |
| Authorized Official Contact | 9184784433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Gibson Family Dentistry Pc 801 S Lee St. Suite A Fort Gibson OK 74434 Ph: (918) 478-4433 | Fort Gibson Family Dentistry Pc 801 S Lee St Suite A Fort Gibson OK 74434-8710 Ph: (918) 478-4433 |
| NPI Number | 1114052032 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114052032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Frank J Evans, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 S Lee St, Fort Gibson, OK 74434 Phone: 918-478-3160 Fax: 918-478-3160 | |
Ft. Gibson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 S Lee St Ste A, Fort Gibson, OK 74434 Phone: 918-478-4433 |