Smiling Monkey Pllc | |
1044 E Lincoln Ave Sapulpa OK 74066-4505 | |
(918) 224-7000 | |
Not Available |
Full Name | Smiling Monkey Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 1044 E Lincoln Ave, Sapulpa, Oklahoma |
Authorized Official Name and Position | Bridget Doyle Isley (PRESIDENT) |
Authorized Official Contact | 9182247000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smiling Monkey Pllc 1044 E Lincoln Ave Sapulpa OK 74066-4505 Ph: (918) 224-7000 | Smiling Monkey Pllc 1044 E Lincoln Ave Sapulpa OK 74066-4505 Ph: (918) 224-7000 |
NPI Number | 1124309216 |
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Provider Enumeration Date | 09/01/2011 |
Last Update Date | 10/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124309216 | NPI | - | NPPES |
200349370A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5995 (Oklahoma) | Primary |
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