Lone Grove Dentistry & Braces | |
16931 Us Highway 70 Lone Grove OK 73443-6523 | |
(580) 657-3117 | |
Not Available |
Full Name | Lone Grove Dentistry & Braces |
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Speciality | Clinic/center - Dental |
Location | 16931 Us Highway 70, Lone Grove, Oklahoma |
Authorized Official Name and Position | Benjamin James Bowman (OWNER) |
Authorized Official Contact | 4053755855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lone Grove Dentistry & Braces 16931 Us Highway 70 Lone Grove OK 73443-6523 Ph: () - | Lone Grove Dentistry & Braces 16931 Us Highway 70 Lone Grove OK 73443-6523 Ph: (580) 657-3117 |
NPI Number | 1063051795 |
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Provider Enumeration Date | 12/28/2019 |
Last Update Date | 08/25/2020 |
Identifier | Type | State | Issuer |
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1063051795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Michael D Weaver Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16931 Us Hwy 70, Lone Grove, OK 73443 Phone: 580-657-3117 Fax: 580-657-8081 |