| Smile Creations, P.c. | |
|
6907 W. Boeing Dr Midwest City OK 73110 | |
| (405) 455-2552 | |
| (405) 455-2553 |
| Full Name | Smile Creations, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 6907 W. Boeing Dr, Midwest City, Oklahoma |
| Authorized Official Name and Position | Anthony T Nguyen (DENTIST) |
| Authorized Official Contact | 4054552552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Creations, P.c. 6907 W. Boeing Dr Midwest City OK 73110 Ph: (405) 455-2552 | Smile Creations, P.c. 6907 W. Boeing Dr Midwest City OK 73110 Ph: (405) 455-2552 |
| NPI Number | 1407033137 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407033137 | NPI | - | NPPES |
| 200059340A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5287 (Oklahoma) | Primary |
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