| Green Country Dental Care | |
|
124 N Main St Miami OK 74354-6325 | |
| (918) 542-1631 | |
| (918) 540-9141 |
| Full Name | Green Country Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 124 N Main St, Miami, Oklahoma |
| Authorized Official Name and Position | Matthew A Keim (PRESIDENT/OWNER) |
| Authorized Official Contact | 9185421631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Country Dental Care 124 N Main St Miami OK 74354-6325 Ph: (918) 542-1631 | Green Country Dental Care 124 N Main St Miami OK 74354-6325 Ph: (918) 542-1631 |
| NPI Number | 1861678583 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861678583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5697 (Oklahoma) | Primary |
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