| Summer Dental Yukon, Pllc | |
|
12444 Nw 10th St. Bldg H, Ste 107 Yukon OK 73099 | |
| (918) 998-0996 | |
| Not Available |
| Full Name | Summer Dental Yukon, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12444 Nw 10th St., Yukon, 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 Yukon, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Summer Dental Yukon, Pllc 12444 Nw 10th St. Bldg H, Ste 107 Yukon OK 73099 Ph: (918) 998-0996 |
| NPI Number | 1609380005 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 06/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609380005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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