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3905 State Highway 97 Suite 100 Sand Springs OK 74063 | |
| (539) 302-5490 | |
| (918) 245-5989 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3905 State Highway 97, Sand Springs, Oklahoma |
| Authorized Official Name and Position | Cathy Ariana (OWNER) |
| Authorized Official Contact | 9186254395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3905 State Highway 97 Suite 100 Sand Springs OK 74063 Ph: (539) 302-5490 | 3905 State Highway 97 Suite 100 Sand Springs OK 74063 Ph: (539) 302-5490 |
| NPI Number | 1760857742 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 12/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760857742 | NPI | - | NPPES |
| 200511820A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Oklahoma) | Primary |
Hammond Family Dentistry, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Broadway St, Sand Springs, OK 74063 Phone: 918-245-5226 Fax: 918-245-7959 | |
Michael V Miller Enterprises Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Washington Ave, Sand Springs, OK 74063 Phone: 918-245-0224 Fax: 918-245-0534 | |
Dr. Dale Kasting Dentistry, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3905 S Highway 97, Sand Springs, OK 74063 Phone: 918-245-5984 Fax: 918-245-5989 | |
Steven W. Fooshee, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 E Broadway St, Sand Springs, OK 74063 Phone: 918-245-0229 Fax: 918-245-4205 |