| Orthodontic Specialists Of Shawnee | |
|
18 E Dunloup Rd Shawnee OK 74804-3203 | |
| (405) 275-7520 | |
| (405) 275-4787 |
| Full Name | Orthodontic Specialists Of Shawnee |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 18 E Dunloup Rd, Shawnee, Oklahoma |
| Authorized Official Name and Position | Michael Behrmann (MENAGER) |
| Authorized Official Contact | 4057089748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Specialists Of Shawnee 18 E Dunloup Rd Shawnee OK 74804-3203 Ph: (405) 275-7520 | Orthodontic Specialists Of Shawnee 18 E Dunloup Rd Shawnee OK 74804-3203 Ph: (405) 275-7520 |
| NPI Number | 1275921769 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275921769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6097 (Oklahoma) | Primary |
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