| Ok Specialty Dental Services, Pllc | |
|
1600 Garth Brooks Blvd Ste 155 Yukon OK 73099-7412 | |
| (405) 227-0054 | |
| Not Available |
| Full Name | Ok Specialty Dental Services, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1600 Garth Brooks Blvd Ste 155, Yukon, Oklahoma |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF CRED AND PROV REL) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ok Specialty Dental Services, Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Ok Specialty Dental Services, Pllc 1600 Garth Brooks Blvd Ste 155 Yukon OK 73099-7412 Ph: (405) 227-0054 |
| NPI Number | 1831914464 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831914464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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