Advantage Dental Group, Pllc | |
11907 S Memorial Dr Ste B Bixby OK 74008-2045 | |
(918) 394-0303 | |
Not Available |
Full Name | Advantage Dental Group, Pllc |
---|---|
Speciality | Dentist |
Location | 11907 S Memorial Dr Ste B, Bixby, Oklahoma |
Authorized Official Name and Position | Matt Hale (AUTHORIZED REPRESENTATIVE) |
Authorized Official Contact | 2147020729 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advantage Dental Group, Pllc 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: (214) 702-0720 | Advantage Dental Group, Pllc 11907 S Memorial Dr Ste B Bixby OK 74008-2045 Ph: (918) 394-0303 |
NPI Number | 1063974640 |
---|---|
Provider Enumeration Date | 04/03/2019 |
Last Update Date | 04/03/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063974640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
News Archive
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