| Proud To Serve Family Dentistry | |
|
6401 N Interstate Dr Ste 156 Norman OK 73069-9524 | |
| (405) 309-7721 | |
| Not Available |
| Full Name | Proud To Serve Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6401 N Interstate Dr Ste 156, Norman, Oklahoma |
| Authorized Official Name and Position | Audrey Lynn May-jones (OWNER) |
| Authorized Official Contact | 4053097721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proud To Serve Family Dentistry 10550 Glad Ln Norman OK 73026-6983 Ph: () - | Proud To Serve Family Dentistry 6401 N Interstate Dr Ste 156 Norman OK 73069-9524 Ph: (405) 309-7721 |
| NPI Number | 1487154829 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 02/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487154829 | NPI | - | NPPES |
| 200422540A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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