Madill Family Dentistry Pllc | |
804 S 1st St Ste C Madill OK 73446-3846 | |
(580) 795-3360 | |
Not Available |
Full Name | Madill Family Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 804 S 1st St Ste C, Madill, Oklahoma |
Authorized Official Name and Position | William Robert Jennings (OWNER) |
Authorized Official Contact | 9402068956 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Madill Family Dentistry Pllc 2109 Commerce St Ste 200 Dallas TX 75201-4305 Ph: (972) 248-1221 | Madill Family Dentistry Pllc 804 S 1st St Ste C Madill OK 73446-3846 Ph: (580) 795-3360 |
NPI Number | 1508447152 |
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Provider Enumeration Date | 04/15/2021 |
Last Update Date | 04/15/2021 |
Identifier | Type | State | Issuer |
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1508447152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Madill Dental Company Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 S 1st St Suite C, Madill, OK 73446 Phone: 580-795-3360 Fax: 580-795-3363 |