Collinsville Family Dentistry | |
1310 W Main St Collinsville OK 74021-3012 | |
(918) 371-3774 | |
(918) 371-5347 |
Full Name | Collinsville Family Dentistry |
---|---|
Speciality | Dentist |
Location | 1310 W Main St, Collinsville, Oklahoma |
Authorized Official Name and Position | Melissa Sue Bowler (PRESIDENET) |
Authorized Official Contact | 9183713774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Collinsville Family Dentistry 1310 W Main St Collinsville OK 74021-3012 Ph: (918) 371-3774 | Collinsville Family Dentistry 1310 W Main St Collinsville OK 74021-3012 Ph: (918) 371-3774 |
NPI Number | 1932374360 |
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Provider Enumeration Date | 04/27/2008 |
Last Update Date | 06/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932374360 | NPI | - | NPPES |
1629080866 | Other | OK | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5715 (Oklahoma) | Primary |
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› Verified 9 days ago
Spring Dental Collinsville, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 W Main St, Collinsville, OK 74021 Phone: 918-371-3375 Fax: 918-371-4407 |