| Eastern Oklahoma Periodotnics | |
|
6565 S Yale Ave 1008 Tulsa OK 74136-8327 | |
| (918) 492-0737 | |
| (918) 492-9439 |
| Full Name | Eastern Oklahoma Periodotnics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6565 S Yale Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | William Bernard Wynn (PRESIDENT) |
| Authorized Official Contact | 9184920737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Oklahoma Periodotnics 6565 S Yale Ave 1008 Tulsa OK 74136-8327 Ph: (918) 492-0737 | Eastern Oklahoma Periodotnics 6565 S Yale Ave 1008 Tulsa OK 74136-8327 Ph: (918) 492-0737 |
| NPI Number | 1720228075 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720228075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 5447 (Oklahoma) | Primary |
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› Verified 6 days ago
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