| Gary H Smith Dds Pc | |
|
5424 S Memorial Dr Suite D1 Tulsa OK 74145-9003 | |
| (918) 280-0880 | |
| (918) 280-0008 |
| Full Name | Gary H Smith Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5424 S Memorial Dr, Tulsa, Oklahoma |
| Authorized Official Name and Position | Gary Haywood Smith (PRESIDENT) |
| Authorized Official Contact | 9182800880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary H Smith Dds Pc 5424 S Memorial Dr Suite D1 Tulsa OK 74145-9003 Ph: (918) 280-0880 | Gary H Smith Dds Pc 5424 S Memorial Dr Suite D1 Tulsa OK 74145-9003 Ph: (918) 280-0880 |
| NPI Number | 1881860690 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881860690 | NPI | - | NPPES |
| 100637250C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5156 (Oklahoma) | Primary |
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