| Shawnee Dental, Pllc | |
|
3 E Macarthur St Shawnee OK 74804-2141 | |
| (405) 275-4581 | |
| (405) 214-4409 |
| Full Name | Shawnee Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3 E Macarthur St, Shawnee, Oklahoma |
| Authorized Official Name and Position | Jennifer M Koonce (DENTIST) |
| Authorized Official Contact | 4052754581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Dental, Pllc 3 E Macarthur St Shawnee OK 74804-2141 Ph: (405) 275-4581 | Shawnee Dental, Pllc 3 E Macarthur St Shawnee OK 74804-2141 Ph: (405) 275-4581 |
| NPI Number | 1528804218 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528804218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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