| Ft. Gibson Family Dentistry | |
|
106 Lone Oak Cr Ft. Gibson OK 74434 | |
| (918) 478-8400 | |
| Not Available |
| Full Name | Ft. Gibson Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 106 Lone Oak Cr, Ft. Gibson, Oklahoma |
| Authorized Official Name and Position | Kristy Ann Manley (OFFICE MANAGER) |
| Authorized Official Contact | 9184788400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ft. Gibson Family Dentistry 106 Lone Oak Cr Ft. Gibson OK 74434 Ph: (918) 478-8400 | Ft. Gibson Family Dentistry 106 Lone Oak Cr Ft. Gibson OK 74434 Ph: (918) 478-8400 |
| NPI Number | 1396980546 |
|---|---|
| Provider Enumeration Date | 12/02/2008 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396980546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5989 (Oklahoma) | Secondary |
| 122300000X | Dentist | 5799 (Oklahoma) | Primary |