| Pediatric Dental Care, Pllc | |
|
1300 Crop Cir Yukon OK 73099-4945 | |
| (214) 702-0729 | |
| Not Available |
| Full Name | Pediatric Dental Care, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1300 Crop Cir, Yukon, Oklahoma |
| Authorized Official Name and Position | Amanda Lightfoot (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2147020708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Care, Pllc 15660 Dallas Pkwy Ste 925 Dallas TX 75248-3323 Ph: (214) 702-0729 | Pediatric Dental Care, Pllc 1300 Crop Cir Yukon OK 73099-4945 Ph: (214) 702-0729 |
| NPI Number | 1033779731 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033779731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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