Kingfisher Dentistry And Braces | |
100 Starlite Dr Kingfisher OK 73750 | |
(405) 375-5855 | |
(405) 358-2946 |
Full Name | Kingfisher Dentistry And Braces |
---|---|
Speciality | Dentist |
Location | 100 Starlite Dr, Kingfisher, Oklahoma |
Authorized Official Name and Position | Benjamin James Bowman (OWNER) |
Authorized Official Contact | 4053755855 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kingfisher Dentistry And Braces 9060 Harmony Dr Ste E Midwest City OK 73130 Ph: (405) 594-8844 | Kingfisher Dentistry And Braces 100 Starlite Dr Kingfisher OK 73750 Ph: (405) 375-5855 |
NPI Number | 1992849996 |
---|---|
Provider Enumeration Date | 02/16/2007 |
Last Update Date | 02/15/2021 |
Medicare PECOS PAC ID | 7416355102 |
---|---|
Medicare Enrollment ID | O20211011001977 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992849996 | NPI | - | NPPES |
200208490A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3767 (Oklahoma) | Primary |
Kingfisher Dental Designs Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Hospital Cir, Kingfisher, OK 73750 Phone: 405-375-3857 | |
Kingfisher Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2302 Frontage Rd, Kingfisher, OK 73750 Phone: 405-375-5855 Fax: 405-375-5863 |