Kyle L. Serfoss, Dds, Pllc | |
810 W Gary Blvd Clinton OK 73601-2720 | |
(580) 323-0763 | |
(580) 323-5532 |
Full Name | Kyle L. Serfoss, Dds, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 810 W Gary Blvd, Clinton, Oklahoma |
Authorized Official Name and Position | Kyle Landon Serfoss (DENTIST) |
Authorized Official Contact | 5803230763 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kyle L. Serfoss, Dds, Pllc 810 W Gary Blvd Clinton OK 73601-2720 Ph: (580) 323-0763 | Kyle L. Serfoss, Dds, Pllc 810 W Gary Blvd Clinton OK 73601-2720 Ph: (580) 323-0763 |
NPI Number | 1619155371 |
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Provider Enumeration Date | 02/05/2008 |
Last Update Date | 02/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619155371 | NPI | - | NPPES |
200090120A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5881 (Oklahoma) | Primary |
Clinton Dental Group Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 W Gary Blvd, Clinton, OK 73601 Phone: 580-323-0763 | |
David L. Boone, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 S 30th St, Clinton, OK 73601 Phone: 580-323-1177 Fax: 580-323-1178 | |
Devin P. Schoonmaker Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W Gary Blvd, Clinton, OK 73601 Phone: 580-323-7733 Fax: 580-323-7733 |