| Owasso Orthodontics | |
|
12813 E 101st Pl N Owasso OK 74055-4662 | |
| (918) 272-4242 | |
| (918) 272-5753 |
| Full Name | Owasso Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12813 E 101st Pl N, Owasso, Oklahoma |
| Authorized Official Name and Position | Jami Williamson (OFFICE MANAGER) |
| Authorized Official Contact | 9182724242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owasso Orthodontics 12813 E 101st Pl N Owasso OK 74055-4662 Ph: (918) 272-4242 | Owasso Orthodontics 12813 E 101st Pl N Owasso OK 74055-4662 Ph: (918) 272-4242 |
| NPI Number | 1346548369 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 03/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346548369 | NPI | - | NPPES |
| 200048910A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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