Antlers Family Dentist Pc | |
107 Ne F St Antlers OK 74523-2603 | |
(580) 298-5581 | |
(580) 298-3310 |
Full Name | Antlers Family Dentist Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 107 Ne F St, Antlers, Oklahoma |
Authorized Official Name and Position | Twana Duncan (PRESIDENT) |
Authorized Official Contact | 5802985581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Antlers Family Dentist Pc 107 Ne F St Antlers OK 74523-2603 Ph: (580) 298-5581 | Antlers Family Dentist Pc 107 Ne F St Antlers OK 74523-2603 Ph: (580) 298-5581 |
NPI Number | 1245365907 |
---|---|
Provider Enumeration Date | 02/22/2007 |
Last Update Date | 03/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245365907 | NPI | - | NPPES |
796050 | Other | OK | UNITED CONCORDIA PPO |
100846880A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5049 (Oklahoma) | Primary |
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