Prague Dentistry Pllc | |
710 N Jim Thorpe Blvd Prague OK 74864-4527 | |
(405) 930-4100 | |
Not Available |
Full Name | Prague Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 710 N Jim Thorpe Blvd, Prague, Oklahoma |
Authorized Official Name and Position | Benjamin Bowman (CEO) |
Authorized Official Contact | 4053268004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prague Dentistry Pllc 851 W I 35 Frontage Rd Ste 350 Edmond OK 73034-7472 Ph: (405) 930-4100 | Prague Dentistry Pllc 710 N Jim Thorpe Blvd Prague OK 74864-4527 Ph: (405) 930-4100 |
NPI Number | 1710722392 |
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Provider Enumeration Date | 06/26/2024 |
Last Update Date | 06/26/2024 |
Identifier | Type | State | Issuer |
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1710722392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |