| Lake Country Orthodontics | |
|
1119 Walnut Dr Ste 4 Ardmore OK 73401-2360 | |
| (580) 226-2331 | |
| (580) 226-8776 |
| Full Name | Lake Country Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1119 Walnut Dr Ste 4, Ardmore, Oklahoma |
| Authorized Official Name and Position | Lori A Miller (OFFICE MANAGER) |
| Authorized Official Contact | 5802262331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Country Orthodontics 1119 Walnut Dr Ste 4 Ardmore OK 73401-2360 Ph: (580) 226-2331 | Lake Country Orthodontics 1119 Walnut Dr Ste 4 Ardmore OK 73401-2360 Ph: (580) 226-2331 |
| NPI Number | 1962013813 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962013813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Travis M Storts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Merrick Dr, Ardmore, OK 73401 Phone: 580-223-6720 Fax: 580-223-6724 | |
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Tony Stretesky Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Walnut Drive, Suite 4, Ardmore, OK 73401 Phone: 580-226-2331 Fax: 580-226-8776 | |
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