| Charles Roskamp D.d.s. Inc. | |
|
3300 S Aspen Ave Sutie A Broken Arrow OK 74012-7501 | |
| (918) 451-0211 | |
| (918) 451-0599 |
| Full Name | Charles Roskamp D.d.s. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3300 S Aspen Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Charles Lee Roskamp (PRES/OWNER) |
| Authorized Official Contact | 9184510211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Roskamp D.d.s. Inc. 3300 S Aspen Ave Sutie A Broken Arrow OK 74012-7501 Ph: (918) 451-0211 | Charles Roskamp D.d.s. Inc. 3300 S Aspen Ave Sutie A Broken Arrow OK 74012-7501 Ph: (918) 451-0211 |
| NPI Number | 1336154756 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336154756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3861 (Oklahoma) | Primary |
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› Verified 3 days ago
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