|
| |
|
5940 Nw Expressway Oklahoma City OK 73132-5101 | |
| (615) 678-0759 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5940 Nw Expressway, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | 5940 Nw Expressway Oklahoma City OK 73132-5101 Ph: (615) 678-0759 |
| NPI Number | 1548901150 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548901150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Wm Edward Holcomb Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6303 North Portland Ave #209, Oklahoma City, OK 73112 Phone: 405-942-7771 Fax: 405-942-7796 | |
Gregory S. Shanbour, D.d.s., M.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8117 S Walker Ave, Oklahoma City, OK 73139 Phone: 405-634-2239 Fax: 405-634-3598 | |
Neighborhood Services Organization Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 Sw 11th Street, Oklahoma City, OK 73109 Phone: 405-236-0413 Fax: 405-236-1871 | |
Heather Cox Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 N Portland Ave, Suite 121, Oklahoma City, OK 73112 Phone: 405-604-6400 Fax: 405-604-4229 | |
Dental Depot 62nd & South Western Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6217 S Western Ave, Oklahoma City, OK 73139 Phone: 405-606-7123 Fax: 405-606-7130 | |
Kelly Klontz Dds,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9721 S Pennsylvania Ave, Oklahoma City, OK 73159 Phone: 405-691-8100 |