| Mydentist-bartlesville | |
|
1224 Se Washington Blvd Bartlesville OK 74006-4425 | |
| (918) 333-3241 | |
| Not Available |
| Full Name | Mydentist-bartlesville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1224 Se Washington Blvd, Bartlesville, Oklahoma |
| Authorized Official Name and Position | Hannah Fish (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mydentist-bartlesville 1224 Se Washington Blvd Bartlesville OK 74006-4425 Ph: () - | Mydentist-bartlesville 1224 Se Washington Blvd Bartlesville OK 74006-4425 Ph: (918) 333-3241 |
| NPI Number | 1649690223 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649690223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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