| Sapulpa Kids Dental Pllc | |
|
1044 E Lincoln Ave Sapulpa OK 74066-4505 | |
| (918) 224-7000 | |
| Not Available |
| Full Name | Sapulpa Kids Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1044 E Lincoln Ave, Sapulpa, Oklahoma |
| Authorized Official Name and Position | Creed Cardon (OWNER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sapulpa Kids Dental Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Sapulpa Kids Dental Pllc 1044 E Lincoln Ave Sapulpa OK 74066-4505 Ph: (918) 224-7000 |
| NPI Number | 1285202580 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285202580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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