| Heartland Anesthesia | |
|
911 N Ridgeway St Sapulpa OK 74066-2417 | |
| (918) 200-9610 | |
| (918) 200-9610 |
| Full Name | Heartland Anesthesia |
|---|---|
| Speciality | Dentist |
| Location | 911 N Ridgeway St, Sapulpa, Oklahoma |
| Authorized Official Name and Position | Tate Montgomery (OWNER) |
| Authorized Official Contact | 9182009610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Anesthesia 911 N Ridgeway St Sapulpa OK 74066-2417 Ph: (918) 200-9610 | Heartland Anesthesia 911 N Ridgeway St Sapulpa OK 74066-2417 Ph: (918) 200-9610 |
| NPI Number | 1396090791 |
|---|---|
| Provider Enumeration Date | 07/22/2012 |
| Last Update Date | 07/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396090791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6231 (Oklahoma) | Primary |
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