Mark W Merideth Dds, Pllc | |
1641 S Delaware Ave Tulsa OK 74104-5909 | |
(405) 640-4435 | |
Not Available |
Full Name | Mark W Merideth Dds, Pllc |
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Speciality | Dentist - General Practice |
Location | 1641 S Delaware Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Mark Wade Merideth (PRESIDENT) |
Authorized Official Contact | 4056404435 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark W Merideth Dds, Pllc 1641 S Delaware Ave Tulsa OK 74104-5909 Ph: () - | Mark W Merideth Dds, Pllc 1641 S Delaware Ave Tulsa OK 74104-5909 Ph: (405) 640-4435 |
NPI Number | 1821244799 |
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Provider Enumeration Date | 08/12/2008 |
Last Update Date | 08/12/2008 |
Identifier | Type | State | Issuer |
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1821244799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 5807 (Oklahoma) | Primary |
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