| Larry D. Leemaster D.d.s., P.c. | |
|
520 S Telephone Rd Suite 205 Moore OK 73160-5423 | |
| (405) 793-8300 | |
| (405) 793-8397 |
| Full Name | Larry D. Leemaster D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 520 S Telephone Rd, Moore, Oklahoma |
| Authorized Official Name and Position | Larry D. Leemaster (PRESIDENT) |
| Authorized Official Contact | 4057938300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D. Leemaster D.d.s., P.c. 520 S Telephone Rd Suite 205 Moore OK 73160-5423 Ph: (405) 793-8300 | Larry D. Leemaster D.d.s., P.c. 520 S Telephone Rd Suite 205 Moore OK 73160-5423 Ph: (405) 793-8300 |
| NPI Number | 1750332045 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750332045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4856 (Oklahoma) | Primary |
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