| Smile Galaxy Pediatric Dentistry | |
|
9801 S. Pennsylvania Oklahoma City OK 73159-6925 | |
| (405) 692-1222 | |
| (405) 703-0930 |
| Full Name | Smile Galaxy Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9801 S. Pennsylvania, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Robert Brian Molloy (BUSINESS OWNER) |
| Authorized Official Contact | 4056921222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Galaxy Pediatric Dentistry Po Box 892290 Oklahoma City OK 73189-2290 Ph: (405) 692-1222 | Smile Galaxy Pediatric Dentistry 9801 S. Pennsylvania Oklahoma City OK 73159-6925 Ph: (405) 692-1222 |
| NPI Number | 1023034451 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 11/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023034451 | NPI | - | NPPES |
| 200066610A | Medicaid | OK | |
| 1390128 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5436 (Oklahoma) | Primary |
Dental Works Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Hemingway Dr, Oklahoma City, OK 73118 Phone: 405-557-1245 | |
Wm Edward Holcomb Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6303 North Portland Ave #209, Oklahoma City, OK 73112 Phone: 405-942-7771 Fax: 405-942-7796 | |
Gregory S. Shanbour, D.d.s., M.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8117 S Walker Ave, Oklahoma City, OK 73139 Phone: 405-634-2239 Fax: 405-634-3598 | |
Neighborhood Services Organization Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 Sw 11th Street, Oklahoma City, OK 73109 Phone: 405-236-0413 Fax: 405-236-1871 | |
Heather Cox Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 N Portland Ave, Suite 121, Oklahoma City, OK 73112 Phone: 405-604-6400 Fax: 405-604-4229 | |
Dental Depot 62nd & South Western Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6217 S Western Ave, Oklahoma City, OK 73139 Phone: 405-606-7123 Fax: 405-606-7130 | |
Kelly Klontz Dds,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9721 S Pennsylvania Ave, Oklahoma City, OK 73159 Phone: 405-691-8100 |