| Liberty Dental, Inc. | |
|
6 N. Broadway Carnegie OK 73015 | |
| (580) 654-1008 | |
| (580) 654-2008 |
| Full Name | Liberty Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6 N. Broadway, Carnegie, Oklahoma |
| Authorized Official Name and Position | Jamie Lynne Cameron (OWNER/DENTIST) |
| Authorized Official Contact | 5806541008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Dental, Inc. P.o. Box 365 Carnegie OK 73015 Ph: (580) 654-1008 | Liberty Dental, Inc. 6 N. Broadway Carnegie OK 73015 Ph: (580) 654-1008 |
| NPI Number | 1497072094 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497072094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5940 (Oklahoma) | Primary |
10wag Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 West Main, Carnegie, OK 73015 Phone: 580-653-1008 | |
Joseph E. Furtado, Dds.inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 N Broadway Street, Carnegie, OK 73015 Phone: 580-654-1008 Fax: 580-654-2008 |