Parks Family Dental | |
1520 East Main Street Tishomingo OK 73460 | |
(580) 371-3900 | |
(580) 371-3903 |
Full Name | Parks Family Dental |
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Speciality | Clinic/center - Dental |
Location | 1520 East Main Street, Tishomingo, Oklahoma |
Authorized Official Name and Position | Justin Ray Parks (DENTIST) |
Authorized Official Contact | 5803713900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Parks Family Dental 1520 East Main Street Tishomingo OK 73460 Ph: (580) 371-3900 | Parks Family Dental 1520 East Main Street Tishomingo OK 73460 Ph: (580) 371-3900 |
NPI Number | 1316210768 |
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Provider Enumeration Date | 02/15/2012 |
Last Update Date | 02/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316210768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 1124 (Oklahoma) | Primary |
Ron Austin, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 E Main St, Tishomingo, OK 73460 Phone: 580-371-2396 Fax: 580-371-9785 | |
Blue River Smiles Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 E Main St, Tishomingo, OK 73460 Phone: 580-371-2396 |