| Kenneth Garner, Dds, Inc, Pc | |
|
3150 E 41st St Suite #100 Tulsa OK 74105-3717 | |
| (918) 742-1480 | |
| (918) 742-1512 |
| Full Name | Kenneth Garner, Dds, Inc, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3150 E 41st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kenneth Garner (PRESIDENT/DENTIST) |
| Authorized Official Contact | 9187421480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Garner, Dds, Inc, Pc 3150 E 41st St Suite #100 Tulsa OK 74105-3717 Ph: (918) 742-1480 | Kenneth Garner, Dds, Inc, Pc 3150 E 41st St Suite #100 Tulsa OK 74105-3717 Ph: (918) 742-1480 |
| NPI Number | 1205019825 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205019825 | NPI | - | NPPES |
| 200002490 B | Medicaid | OK | |
| 200002490 A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5632 (Oklahoma) | Primary |
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