| Spring Dental Henryetta, Pllc | |
|
202 S 6th St Henryetta OK 74437-5002 | |
| (918) 652-4404 | |
| Not Available |
| Full Name | Spring Dental Henryetta, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 202 S 6th St, Henryetta, Oklahoma |
| Authorized Official Name and Position | Renee Mcbay (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Dental Henryetta, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Spring Dental Henryetta, Pllc 202 S 6th St Henryetta OK 74437-5002 Ph: (918) 652-4404 |
| NPI Number | 1033774575 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033774575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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