| Lifetime Dentistry Of South Tulsa | |
|
9146 S Sheridan Rd Tulsa OK 74133-5332 | |
| (918) 794-0099 | |
| Not Available |
| Full Name | Lifetime Dentistry Of South Tulsa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9146 S Sheridan Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Hannah Fish (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dentistry Of South Tulsa 9146 S Sheridan Rd Tulsa OK 74133-5332 Ph: () - | Lifetime Dentistry Of South Tulsa 9146 S Sheridan Rd Tulsa OK 74133-5332 Ph: (918) 794-0099 |
| NPI Number | 1629498506 |
|---|---|
| Provider Enumeration Date | 04/18/2014 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629498506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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› Verified 9 days ago
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