| Oklahoma Dental Implants And Oral Surgery | |
|
1004 Medical Park Blvd Edmond OK 73013-3025 | |
| (405) 348-8184 | |
| (405) 348-5349 |
| Full Name | Oklahoma Dental Implants And Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1004 Medical Park Blvd, Edmond, Oklahoma |
| Authorized Official Name and Position | Thao T. Vo (CREDENTIALING DEPARTMENT) |
| Authorized Official Contact | 4058487974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Dental Implants And Oral Surgery 3000 United Founders Blvd Ste 237 Oklahoma City OK 73112-4334 Ph: (405) 848-7974 | Oklahoma Dental Implants And Oral Surgery 1004 Medical Park Blvd Edmond OK 73013-3025 Ph: (405) 348-8184 |
| NPI Number | 1730672510 |
|---|---|
| Provider Enumeration Date | 06/07/2018 |
| Last Update Date | 06/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730672510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6586 (Oklahoma) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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Gentle Dental Homestead Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 N Santa Fe Ave Ste 105, Edmond, OK 73003 Phone: 405-285-7557 Fax: 405-285-7130 | |
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Martha L Garzon Dmd, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 S Kelly Ave Ste C1, Edmond, OK 73003 Phone: 405-348-5757 Fax: 405-348-8221 | |
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