| Peak Dental Group Llc | |
|
4 N Coo Y Yah St Pryor OK 74361-3820 | |
| (918) 825-0822 | |
| Not Available |
| Full Name | Peak Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 N Coo Y Yah St, Pryor, Oklahoma |
| Authorized Official Name and Position | Jeff A Jackson (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9184086228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Dental Group Llc 4 N Coo Y Yah St Pryor OK 74361-3820 Ph: (918) 825-0822 | Peak Dental Group Llc 4 N Coo Y Yah St Pryor OK 74361-3820 Ph: (918) 825-0822 |
| NPI Number | 1588957567 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588957567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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