Gentle Dental Homestead | |
1333 N Santa Fe Ave Ste 105 Edmond OK 73003-3677 | |
(405) 285-7557 | |
(405) 285-7130 |
Full Name | Gentle Dental Homestead |
---|---|
Speciality | Dentist - General Practice |
Location | 1333 N Santa Fe Ave Ste 105, Edmond, Oklahoma |
Authorized Official Name and Position | Ronald K Montgomery (PC OWNER) |
Authorized Official Contact | 4056981003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gentle Dental Homestead 1101 Se Tech Center Dr Ste 195 Vancouver WA 98683-5511 Ph: (360) 869-7645 | Gentle Dental Homestead 1333 N Santa Fe Ave Ste 105 Edmond OK 73003-3677 Ph: (405) 285-7557 |
NPI Number | 1033519012 |
---|---|
Provider Enumeration Date | 08/27/2014 |
Last Update Date | 12/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033519012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3733 (Oklahoma) | Primary |
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