| Summer Dental Moore Pllc | |
|
811 Sw 19th St Ste A Moore OK 73160-2890 | |
| (405) 703-5161 | |
| Not Available |
| Full Name | Summer Dental Moore Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 811 Sw 19th St Ste A, Moore, Oklahoma |
| Authorized Official Name and Position | Renee Mcbay (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summer Dental Moore Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 988-0996 | Summer Dental Moore Pllc 811 Sw 19th St Ste A Moore OK 73160-2890 Ph: (405) 703-5161 |
| NPI Number | 1578056065 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578056065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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