| Spottswood Dental | |
|
1512 Sw 89th St Oklahoma City OK 73159-6307 | |
| (405) 691-3399 | |
| Not Available |
| Full Name | Spottswood Dental |
|---|---|
| Speciality | Dentist |
| Location | 1512 Sw 89th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Tristanne Spottswood (OWNER/DOCTOR) |
| Authorized Official Contact | 4056913399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spottswood Dental 1512 Sw 89th St Oklahoma City OK 73159-6307 Ph: (405) 691-3399 | Spottswood Dental 1512 Sw 89th St Oklahoma City OK 73159-6307 Ph: (405) 691-3399 |
| NPI Number | 1679960587 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679960587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5910 (Oklahoma) | Primary |
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