Little Axe Health Center | |
15951 Little Axe Drive Norman OK 73026-9001 | |
(405) 447-0300 | |
(405) 701-7914 |
Full Name | Little Axe Health Center |
---|---|
Speciality | Dentist - General Practice |
Location | 15951 Little Axe Drive, Norman, Oklahoma |
Authorized Official Name and Position | Mark E Rogers (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4054470300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Little Axe Health Center 15951 Little Axe Drive Norman OK 73026-9001 Ph: (405) 447-0300 | Little Axe Health Center 15951 Little Axe Drive Norman OK 73026-9001 Ph: (405) 447-0300 |
NPI Number | 1629227897 |
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Provider Enumeration Date | 09/12/2008 |
Last Update Date | 12/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629227897 | NPI | - | NPPES |
100699860B | Medicaid | OK | |
100699860N | Medicaid | OK | |
100699860A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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