Impressions Dental | |
2510 E Independence St Ste 600 Shawnee OK 74804-1839 | |
(405) 273-2002 | |
Not Available |
Full Name | Impressions Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 2510 E Independence St Ste 600, Shawnee, Oklahoma |
Authorized Official Name and Position | Renalla Kaye Ellis (OWNER) |
Authorized Official Contact | 4052732002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Impressions Dental 2510 E Independence St Ste 600 Shawnee OK 74804-1839 Ph: (405) 273-2002 | Impressions Dental 2510 E Independence St Ste 600 Shawnee OK 74804-1839 Ph: (405) 273-2002 |
NPI Number | 1144494147 |
---|---|
Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144494147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5285 (Oklahoma) | Primary |
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› Verified 9 days ago
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