| Muskogee Pediatric Dental Pllc | |
|
930 W Shawnee St Muskogee OK 74401-3511 | |
| (918) 998-0996 | |
| Not Available |
| Full Name | Muskogee Pediatric Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 930 W Shawnee St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Anne Demmy (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Muskogee Pediatric Dental Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Muskogee Pediatric Dental Pllc 930 W Shawnee St Muskogee OK 74401-3511 Ph: (918) 998-0996 |
| NPI Number | 1265198410 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265198410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Heather R. Turner, D.d.s..p.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 W Shawnee St, Muskogee, OK 74401 Phone: 918-351-7135 Fax: 918-681-4560 |