Jerry D Mccan Dds | |
7 Cedar Springs Drive Tuttle OK 73089-7929 | |
(405) 381-2303 | |
(405) 381-2304 |
Full Name | Jerry D Mccan Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 7 Cedar Springs Drive, Tuttle, Oklahoma |
Authorized Official Name and Position | Jerry D Mccan (OWNER) |
Authorized Official Contact | 4053812303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jerry D Mccan Dds 7 Cedar Springs Drive Tuttle OK 73089-7929 Ph: (405) 381-2303 | Jerry D Mccan Dds 7 Cedar Springs Drive Tuttle OK 73089-7929 Ph: (405) 381-2303 |
NPI Number | 1265691695 |
---|---|
Provider Enumeration Date | 06/02/2008 |
Last Update Date | 06/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265691695 | NPI | - | NPPES |
100106100B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4124 (Oklahoma) | Primary |
Absolute Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 E. Hwy. 37, Tuttle, OK 73089 Phone: 405-381-0900 Fax: 405-381-0902 |