| Red Dirt Orthodontics Pllc | |
|
5940 Nw Expressway # 100 Oklahoma City OK 73132-5101 | |
| (405) 227-0054 | |
| Not Available |
| Full Name | Red Dirt Orthodontics Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5940 Nw Expressway # 100, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Kolton F Erickson (PRESIDENT) |
| Authorized Official Contact | 4052270054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Dirt Orthodontics Pllc 5940 Nw Expressway # 100 Oklahoma City OK 73132-5101 Ph: (405) 227-0054 | Red Dirt Orthodontics Pllc 5940 Nw Expressway # 100 Oklahoma City OK 73132-5101 Ph: (405) 227-0054 |
| NPI Number | 1851811293 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851811293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dental Works Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Hemingway Dr, Oklahoma City, OK 73118 Phone: 405-557-1245 | |
Wm Edward Holcomb Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6303 North Portland Ave #209, Oklahoma City, OK 73112 Phone: 405-942-7771 Fax: 405-942-7796 | |
Gregory S. Shanbour, D.d.s., M.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8117 S Walker Ave, Oklahoma City, OK 73139 Phone: 405-634-2239 Fax: 405-634-3598 | |
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Heather Cox Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 N Portland Ave, Suite 121, Oklahoma City, OK 73112 Phone: 405-604-6400 Fax: 405-604-4229 | |
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