| Catoosa Dental Care, Plc | |
|
1755 N Highway 66 Suite # D Catoosa OK 74015-2409 | |
| (918) 266-3866 | |
| (918) 266-3880 |
| Full Name | Catoosa Dental Care, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1755 N Highway 66, Catoosa, Oklahoma |
| Authorized Official Name and Position | Michael Leon Brewer (PRESIDENT) |
| Authorized Official Contact | 9182663866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catoosa Dental Care, Plc Po Box 1227 Catoosa OK 74015-1227 Ph: (918) 266-3866 | Catoosa Dental Care, Plc 1755 N Highway 66 Suite # D Catoosa OK 74015-2409 Ph: (918) 266-3866 |
| NPI Number | 1073712949 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073712949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5182 (Oklahoma) | Primary |
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Affordable Dentures & Implants - Oklahoma, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1875 N Highway 66 Ste A, Catoosa, OK 74015 Phone: 918-266-2906 |