| Broken Arrow Family Dentistry Pllc | |
|
423 W Washington St Broken Arrow OK 74012-6450 | |
| (918) 455-8899 | |
| (918) 250-6743 |
| Full Name | Broken Arrow Family Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 423 W Washington St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Steven W Hogg (MEMBER/PARTNER) |
| Authorized Official Contact | 9184558899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broken Arrow Family Dentistry Pllc 423 W Washington St Broken Arrow OK 74012-6450 Ph: (918) 455-8899 | Broken Arrow Family Dentistry Pllc 423 W Washington St Broken Arrow OK 74012-6450 Ph: (918) 455-8899 |
| NPI Number | 1538676846 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 01/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538676846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Oklahoma) | Primary |
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