| Shawnee Dentistry And Braces | |
|
2616 N Park Ave Shawnee OK 74804-2838 | |
| (405) 275-7730 | |
| Not Available |
| Full Name | Shawnee Dentistry And Braces |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2616 N Park Ave, Shawnee, Oklahoma |
| Authorized Official Name and Position | Brad Nelson (OWNER) |
| Authorized Official Contact | 4052606080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Dentistry And Braces 2616 N Park Ave Shawnee OK 74804-2838 Ph: (405) 275-7730 | Shawnee Dentistry And Braces 2616 N Park Ave Shawnee OK 74804-2838 Ph: (405) 275-7730 |
| NPI Number | 1316432438 |
|---|---|
| Provider Enumeration Date | 07/01/2018 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316432438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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