Spiro Family Dental P.c. | |
318 W Broadway St Spiro OK 74959-2422 | |
(918) 962-2466 | |
(918) 962-4004 |
Full Name | Spiro Family Dental P.c. |
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Speciality | Clinic/center - Dental |
Location | 318 W Broadway St, Spiro, Oklahoma |
Authorized Official Name and Position | Keifer Layne Fisher (PRESIDENT) |
Authorized Official Contact | 9189622466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spiro Family Dental P.c. 318 W Broadway St Spiro OK 74959-2422 Ph: (918) 962-2466 | Spiro Family Dental P.c. 318 W Broadway St Spiro OK 74959-2422 Ph: (918) 962-2466 |
NPI Number | 1730277740 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 01/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730277740 | NPI | - | NPPES |
200389460 A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4826 (Oklahoma) | Primary |