| Spring Dental-broken Arrow | |
|
6416 S Elm Pl Broken Arrow OK 74011-4819 | |
| (918) 895-6568 | |
| Not Available |
| Full Name | Spring Dental-broken Arrow |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6416 S Elm Pl, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Renee Mcbay (CREDENTIALING SPEICALIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Dental-broken Arrow 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Spring Dental-broken Arrow 6416 S Elm Pl Broken Arrow OK 74011-4819 Ph: (918) 895-6568 |
| NPI Number | 1164897666 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 06/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164897666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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