| Lifetime Dentistry Of Chickasha | |
|
2328 S 4th St Chickasha OK 73018-6804 | |
| (405) 222-2266 | |
| Not Available |
| Full Name | Lifetime Dentistry Of Chickasha |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2328 S 4th St, Chickasha, Oklahoma |
| Authorized Official Name and Position | Hannah Fish (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dentistry Of Chickasha 2328 S 4th St Chickasha OK 73018-6804 Ph: (405) 222-2266 | Lifetime Dentistry Of Chickasha 2328 S 4th St Chickasha OK 73018-6804 Ph: (405) 222-2266 |
| NPI Number | 1750701660 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750701660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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