| Premiere Dentistry Of Tahlequah, P.c. | |
|
1205 E Ross Byp Tahlequah OK 74464-4188 | |
| (918) 456-2555 | |
| (918) 456-2444 |
| Full Name | Premiere Dentistry Of Tahlequah, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1205 E Ross Byp, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Robert S Jones (DENTIST OWNER) |
| Authorized Official Contact | 9184562555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Dentistry Of Tahlequah, P.c. 1205 E Ross Byp Tahlequah OK 74464-4188 Ph: (918) 456-2555 | Premiere Dentistry Of Tahlequah, P.c. 1205 E Ross Byp Tahlequah OK 74464-4188 Ph: (918) 456-2555 |
| NPI Number | 1841465861 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841465861 | NPI | - | NPPES |
| 200021320A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Brant Rouse Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 559 Meadow Creek Drive, Tahlequah, OK 74464 Phone: 918-456-0977 Fax: 855-856-5958 | |
Errol J. Allison, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3070 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-456-3311 Fax: 918-456-1254 | |
Premiere Dentistry Of Tahlequah Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 E Ross Bypass, Tahlequah, OK 74464 Phone: 918-456-2555 Fax: 918-456-2444 | |
Tahlequah Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 N Muskogee Ave, Tahlequah, OK 74464 Phone: 918-456-2273 Fax: 918-431-0938 | |
Don Logue Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 Park Hill Rd, Tahlequah, OK 74464 Phone: 918-456-3082 Fax: 918-456-3536 | |
Robert P. Webb, Iii, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-4477 | |
Matthew E. Walker Pc Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 E. Downing St., Tahlequah, OK 74464 Phone: 918-456-4441 Fax: 918-456-2523 |