| Premier Dental Of Western Oklahoma, Pllc | |
|
3102 S Highway 6 Elk City OK 73644-9779 | |
| (580) 225-4448 | |
| (580) 225-4460 |
| Full Name | Premier Dental Of Western Oklahoma, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3102 S Highway 6, Elk City, Oklahoma |
| Authorized Official Name and Position | Patrick Pete Stover (DENTIST) |
| Authorized Official Contact | 5802254448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Of Western Oklahoma, Pllc 3102 S Highway 6 Elk City OK 73644-9779 Ph: (580) 225-4448 | Premier Dental Of Western Oklahoma, Pllc 3102 S Highway 6 Elk City OK 73644-9779 Ph: (580) 225-4448 |
| NPI Number | 1790959757 |
|---|---|
| Provider Enumeration Date | 04/21/2008 |
| Last Update Date | 04/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790959757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5614 (Oklahoma) | Primary |
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