| Lawton Endodontics | |
|
8504 Nw Cache Rd Lawton OK 73505-9604 | |
| (580) 248-3636 | |
| (580) 248-3533 |
| Full Name | Lawton Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8504 Nw Cache Rd, Lawton, Oklahoma |
| Authorized Official Name and Position | Jay Scott Sullins (PRESIDENT) |
| Authorized Official Contact | 5802483636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawton Endodontics 8504 Nw Cache Rd Lawton OK 73505-9604 Ph: (580) 248-3636 | Lawton Endodontics 8504 Nw Cache Rd Lawton OK 73505-9604 Ph: (580) 248-3636 |
| NPI Number | 1548556327 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548556327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 38 (Oklahoma) | Primary |
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