| Henryetta Dental Center | |
|
121 S 6th St Henryetta OK 74437-5009 | |
| (918) 652-2555 | |
| Not Available |
| Full Name | Henryetta Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 S 6th St, Henryetta, Oklahoma |
| Authorized Official Name and Position | David Lee Warden (OWNER) |
| Authorized Official Contact | 9186522555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henryetta Dental Center 121 S 6th St Henryetta OK 74437-5009 Ph: (918) 652-2555 | Henryetta Dental Center 121 S 6th St Henryetta OK 74437-5009 Ph: (918) 652-2555 |
| NPI Number | 1528165701 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528165701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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