| Magnolia Family Dental Care Pllc | |
|
6939 S 66th East Ave Tulsa OK 74133-1778 | |
| (918) 492-3771 | |
| Not Available |
| Full Name | Magnolia Family Dental Care Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6939 S 66th East Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Melissa Jackson (OWNER/DENTIST) |
| Authorized Official Contact | 9184923771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Dental Care Pllc 6939 S 66th East Ave Tulsa OK 74133-1778 Ph: (918) 492-3771 | Magnolia Family Dental Care Pllc 6939 S 66th East Ave Tulsa OK 74133-1778 Ph: (918) 492-3771 |
| NPI Number | 1144795121 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 10/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144795121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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