| Lori Smith Dds Inc Pc | |
|
13 South Cooyyah Pryor OK 74361 | |
| (918) 825-7645 | |
| (918) 825-7646 |
| Full Name | Lori Smith Dds Inc Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13 South Cooyyah, Pryor, Oklahoma |
| Authorized Official Name and Position | Lori Triebel Smith (OWNER PRESIDENT DENTIST) |
| Authorized Official Contact | 9188257645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Smith Dds Inc Pc 13 South Cooyyah Pryor OK 74361 Ph: (918) 825-7645 | Lori Smith Dds Inc Pc 13 South Cooyyah Pryor OK 74361 Ph: (918) 825-7645 |
| NPI Number | 1205935368 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205935368 | NPI | - | NPPES |
| 100150130A | Medicaid | OK | |
| 455716222001 | Other | OK | BLUE CROSS SHIELD OF OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5334 (Oklahoma) | Primary |
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