| Enid Dentistry & Braces | |
|
5202 W Owen K Garriott Rd Ste A Enid OK 73703-4611 | |
| (580) 242-5862 | |
| Not Available |
| Full Name | Enid Dentistry & Braces |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5202 W Owen K Garriott Rd Ste A, Enid, Oklahoma |
| Authorized Official Name and Position | Benjamin James Bowman (MANAGER) |
| Authorized Official Contact | 4053268004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enid Dentistry & Braces 5202 W Owen K Garriott Rd Ste A Enid OK 73703-4611 Ph: (580) 242-5862 | Enid Dentistry & Braces 5202 W Owen K Garriott Rd Ste A Enid OK 73703-4611 Ph: (580) 242-5862 |
| NPI Number | 1780105122 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780105122 | NPI | - | NPPES |
| 1205032935 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6076 (Oklahoma) | Primary |
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› Verified 7 days ago
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