| Norman Family Dentistry | |
|
709 W Main St Norman OK 73069-6918 | |
| (405) 321-6506 | |
| (405) 360-4570 |
| Full Name | Norman Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 709 W Main St, Norman, Oklahoma |
| Authorized Official Name and Position | Randall Ernest Venk (PRESIDENT) |
| Authorized Official Contact | 4053216506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Family Dentistry 709 W Main St Norman OK 73069-6918 Ph: (405) 321-6506 | Norman Family Dentistry 709 W Main St Norman OK 73069-6918 Ph: (405) 321-6506 |
| NPI Number | 1356516017 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356516017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4145 (Oklahoma) | Primary |
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