| Gerald Vincy Cross, D.d.s., Mba, Inc. | |
|
800 12th Ave Nw Ardmore OK 73401-5708 | |
| (580) 226-6092 | |
| (580) 226-8791 |
| Full Name | Gerald Vincy Cross, D.d.s., Mba, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 12th Ave Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Gerald Vincy Cross (DENTIST) |
| Authorized Official Contact | 5802266092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Vincy Cross, D.d.s., Mba, Inc. 800 12th Ave Nw Ardmore OK 73401-5708 Ph: (580) 226-6092 | Gerald Vincy Cross, D.d.s., Mba, Inc. 800 12th Ave Nw Ardmore OK 73401-5708 Ph: (580) 226-6092 |
| NPI Number | 1346465275 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346465275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4448 (Oklahoma) | Primary |
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