| Sout Oak Dental Care | |
|
201 S Oak St Sallisaw OK 74955-6209 | |
| (918) 775-4431 | |
| (918) 775-4432 |
| Full Name | Sout Oak Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 S Oak St, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Aubrey J Henshaw (DENTIST) |
| Authorized Official Contact | 9187754431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sout Oak Dental Care Po Box 708 Sallisaw OK 74955-0708 Ph: (918) 775-4431 | Sout Oak Dental Care 201 S Oak St Sallisaw OK 74955-6209 Ph: (918) 775-4431 |
| NPI Number | 1124293782 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124293782 | NPI | - | NPPES |
| 100132280B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 75227 (Oklahoma) | Primary |
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