| Midtown Dental | |
|
809 Nw Highway 270 Woodward OK 73801-1734 | |
| (580) 256-6054 | |
| (580) 256-6057 |
| Full Name | Midtown Dental |
|---|---|
| Speciality | Dentist |
| Location | 809 Nw Highway 270, Woodward, Oklahoma |
| Authorized Official Name and Position | Myshal Leanne Olive (OWNER) |
| Authorized Official Contact | 5806303333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Dental 1120 18th St Woodward OK 73801-2921 Ph: (580) 256-6054 | Midtown Dental 809 Nw Highway 270 Woodward OK 73801-1734 Ph: (580) 256-6054 |
| NPI Number | 1124555701 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 04/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124555701 | NPI | - | NPPES |
| 815392332 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6805 (Oklahoma) | Primary |
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› Verified 4 days ago
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