| Lake Texoma Smiles | |
|
9072 W Highway 70 Durant OK 74701-6513 | |
| (580) 931-9800 | |
| Not Available |
| Full Name | Lake Texoma Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9072 W Highway 70, Durant, 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 |
|---|---|
| Lake Texoma Smiles 9072 W Highway 70 Durant OK 74701-6513 Ph: () - | Lake Texoma Smiles 9072 W Highway 70 Durant OK 74701-6513 Ph: (580) 931-9800 |
| NPI Number | 1982024840 |
|---|---|
| Provider Enumeration Date | 04/18/2014 |
| Last Update Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982024840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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