| Cornerstone Dental Pllc | |
|
1601 Airport Dr Shawnee OK 74804-4302 | |
| (405) 273-1020 | |
| Not Available |
| Full Name | Cornerstone Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1601 Airport Dr, Shawnee, Oklahoma |
| Authorized Official Name and Position | Mickey Lynn Sehorn (PRESIDENT) |
| Authorized Official Contact | 4052731020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Dental Pllc 1601 Airport Dr Shawnee OK 74804-4302 Ph: (405) 273-1020 | Cornerstone Dental Pllc 1601 Airport Dr Shawnee OK 74804-4302 Ph: (405) 273-1020 |
| NPI Number | 1467612937 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467612937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4264 (Oklahoma) | Primary |
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