| Tri City Oral Surgery Pllc | |
|
2822 Nw 32nd St Newcastle OK 73065-6576 | |
| (405) 474-6362 | |
| (405) 513-6542 |
| Full Name | Tri City Oral Surgery Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2822 Nw 32nd St, Newcastle, Oklahoma |
| Authorized Official Name and Position | Dayne Jensen (DENTIST) |
| Authorized Official Contact | 4054746362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri City Oral Surgery Pllc 2822 Nw 32nd St Newcastle OK 73065-6576 Ph: (405) 474-6362 | Tri City Oral Surgery Pllc 2822 Nw 32nd St Newcastle OK 73065-6576 Ph: (405) 474-6362 |
| NPI Number | 1366899510 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366899510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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