| Progressive Dental Care Of Tulsa, Pllc | |
|
7614 E 91st St Ste 120 Tulsa OK 74133-6047 | |
| (918) 477-7774 | |
| Not Available |
| Full Name | Progressive Dental Care Of Tulsa, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7614 E 91st St Ste 120, Tulsa, Oklahoma |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Dental Care Of Tulsa, Pllc Po Box 410168 Kansas City MO 64141-0168 Ph: (214) 702-0729 | Progressive Dental Care Of Tulsa, Pllc 7614 E 91st St Ste 120 Tulsa OK 74133-6047 Ph: (918) 477-7774 |
| NPI Number | 1346801198 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346801198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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