| Johnson And Southard Endodontics | |
|
5010 E 68th St Suite 104 Tulsa OK 74136-3323 | |
| (918) 493-3880 | |
| (918) 492-8564 |
| Full Name | Johnson And Southard Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5010 E 68th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Laurie Lynn Southard (PRESIDENT/ENDODONTIST) |
| Authorized Official Contact | 9184933880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson And Southard Endodontics 5010 E 68th St Suite 104 Tulsa OK 74136-3323 Ph: (918) 493-3880 | Johnson And Southard Endodontics 5010 E 68th St Suite 104 Tulsa OK 74136-3323 Ph: (918) 493-3880 |
| NPI Number | 1649416876 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649416876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 5119 (Oklahoma) | Primary |
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