Muskogee Dental Group, Inc. | |
2909 Azalea Park Dr Muskogee OK 74401-2283 | |
(918) 682-0544 | |
(918) 682-1004 |
Full Name | Muskogee Dental Group, Inc. |
---|---|
Speciality | Dentist |
Location | 2909 Azalea Park Dr, Muskogee, Oklahoma |
Authorized Official Name and Position | Terry D. Grubbs (OWENER) |
Authorized Official Contact | 9186820544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Muskogee Dental Group, Inc. 2909 Azalea Park Dr Muskogee OK 74401-2283 Ph: (918) 682-0544 | Muskogee Dental Group, Inc. 2909 Azalea Park Dr Muskogee OK 74401-2283 Ph: (918) 682-0544 |
NPI Number | 1548526106 |
---|---|
Provider Enumeration Date | 04/09/2012 |
Last Update Date | 04/09/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548526106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3843 (Oklahoma) | Primary |
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› Verified 5 days ago
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