Ronald M Wayt Dds Inc | |
1011 N Broadway Suite 7 Tecumseh OK 74873-0219 | |
(405) 598-6259 | |
(405) 598-6259 |
Full Name | Ronald M Wayt Dds Inc |
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Speciality | Dentist |
Location | 1011 N Broadway, Tecumseh, Oklahoma |
Authorized Official Name and Position | Ronald Melvin Wayt (DENTIST PRESIDENT) |
Authorized Official Contact | 4055186259 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ronald M Wayt Dds Inc Po Box 219 Tecumseh OK 74873-0219 Ph: (405) 598-6259 | Ronald M Wayt Dds Inc 1011 N Broadway Suite 7 Tecumseh OK 74873-0219 Ph: (405) 598-6259 |
NPI Number | 1700813144 |
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Provider Enumeration Date | 06/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700813144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3083 (Oklahoma) | Primary |
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