| Leisha V. Everett,dds,pc | |
|
1100 N Mustang Rd Mustang OK 73064-7201 | |
| (405) 376-6565 | |
| (405) 376-2443 |
| Full Name | Leisha V. Everett,dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 N Mustang Rd, Mustang, Oklahoma |
| Authorized Official Name and Position | Leisha Von Everett (OWNER) |
| Authorized Official Contact | 4053766565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leisha V. Everett,dds,pc 1100 N Mustang Rd Mustang OK 73064-7201 Ph: (405) 376-6565 | Leisha V. Everett,dds,pc 1100 N Mustang Rd Mustang OK 73064-7201 Ph: (405) 376-6565 |
| NPI Number | 1255561791 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 07/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255561791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5108 (Oklahoma) | Primary |
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Kristi Cobb Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 N Mustang Rd, Mustang, OK 73064 Phone: 405-376-1027 Fax: 405-376-1036 | |
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Buffalo Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Sara Rd Ste 140, Mustang, OK 73064 Phone: 580-704-2070 | |
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