Bethany Dental Group | |
6301 Nw 23rd St Bethany OK 73008-5931 | |
(405) 474-6362 | |
Not Available |
Full Name | Bethany Dental Group |
---|---|
Speciality | Dentist |
Location | 6301 Nw 23rd St, Bethany, Oklahoma |
Authorized Official Name and Position | Joshua Brasher (OWNER/MANAGER) |
Authorized Official Contact | 4054746362 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bethany Dental Group 6301 Nw 23rd St Bethany OK 73008-5931 Ph: (405) 474-6362 | Bethany Dental Group 6301 Nw 23rd St Bethany OK 73008-5931 Ph: (405) 474-6362 |
NPI Number | 1265984066 |
---|---|
Provider Enumeration Date | 10/27/2016 |
Last Update Date | 10/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265984066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6256 (Oklahoma) | Primary |
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