| Spring Dental Collinsville, Pllc | |
|
619 W Main St Collinsville OK 74021-3333 | |
| (918) 371-3375 | |
| (918) 371-4407 |
| Full Name | Spring Dental Collinsville, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 619 W Main St, Collinsville, Oklahoma |
| Authorized Official Name and Position | Creed Cardon (OWNER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Dental Collinsville, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Spring Dental Collinsville, Pllc 619 W Main St Collinsville OK 74021-3333 Ph: (918) 371-3375 |
| NPI Number | 1477110963 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477110963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Collinsville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 W Main St, Collinsville, OK 74021 Phone: 918-371-3774 Fax: 918-371-5347 |