Hero Dental Of Oklahoma Pc | |
602 S Utica Ave Tulsa OK 74104-2641 | |
(918) 585-3744 | |
Not Available |
Full Name | Hero Dental Of Oklahoma Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 602 S Utica Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Charlotte Souder (CREDENTIALING MANAGER) |
Authorized Official Contact | 7196490305 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hero Dental Of Oklahoma Pc 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 576-1850 | Hero Dental Of Oklahoma Pc 602 S Utica Ave Tulsa OK 74104-2641 Ph: (918) 585-3744 |
NPI Number | 1427512060 |
---|---|
Provider Enumeration Date | 01/28/2019 |
Last Update Date | 01/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427512060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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