| Cross Timbers Family Dental | |
|
3152 S Broadway Edmond OK 73013-4056 | |
| (405) 696-4168 | |
| Not Available |
| Full Name | Cross Timbers Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3152 S Broadway, Edmond, Oklahoma |
| Authorized Official Name and Position | Jennifer Hoelscher (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Timbers Family Dental 3152 S Broadway Edmond OK 73013-4056 Ph: (405) 696-4168 | Cross Timbers Family Dental 3152 S Broadway Edmond OK 73013-4056 Ph: (405) 696-4168 |
| NPI Number | 1013311265 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013311265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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