| Mydentist-midtown Oral Surgery | |
|
1420 S Lewis Ave Tulsa OK 74104-4641 | |
| (918) 492-1780 | |
| Not Available |
| Full Name | Mydentist-midtown Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1420 S Lewis Ave, 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 |
|---|---|
| Mydentist-midtown Oral Surgery 1420 S Lewis Ave Tulsa OK 74104-4641 Ph: () - | Mydentist-midtown Oral Surgery 1420 S Lewis Ave Tulsa OK 74104-4641 Ph: (918) 492-1780 |
| NPI Number | 1013337518 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013337518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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