Safari Smiles, Pllc | |
2359 Nowata Pl Bartlesville OK 74006-4745 | |
(918) 331-0016 | |
Not Available |
Full Name | Safari Smiles, Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 2359 Nowata Pl, Bartlesville, Oklahoma |
Authorized Official Name and Position | Jon M Lindblom (OWNER) |
Authorized Official Contact | 9183310016 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Safari Smiles, Pllc 2359 Nowata Pl Bartlesville OK 74006-4745 Ph: (918) 331-0016 | Safari Smiles, Pllc 2359 Nowata Pl Bartlesville OK 74006-4745 Ph: (918) 331-0016 |
NPI Number | 1730474800 |
---|---|
Provider Enumeration Date | 06/16/2011 |
Last Update Date | 10/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730474800 | NPI | - | NPPES |
200259000A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 6092 (Oklahoma) | Primary |
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