| Todd A. Gentling, D.d.s., Inc., P.c. | |
|
2443 W Kenosha St Broken Arrow OK 74012-8964 | |
| (918) 251-8141 | |
| (918) 251-8143 |
| Full Name | Todd A. Gentling, D.d.s., Inc., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2443 W Kenosha St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Todd A Gentling (PRESIDENT/OWNER) |
| Authorized Official Contact | 9182518141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd A. Gentling, D.d.s., Inc., P.c. 2443 W Kenosha St Broken Arrow OK 74012-8964 Ph: (918) 251-8141 | Todd A. Gentling, D.d.s., Inc., P.c. 2443 W Kenosha St Broken Arrow OK 74012-8964 Ph: (918) 251-8141 |
| NPI Number | 1649284217 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649284217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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