Redbud Dental | |
18001 N Western Ave Ste 106 Edmond OK 73012 | |
(405) 562-9550 | |
Not Available |
Full Name | Redbud Dental |
---|---|
Speciality | Dentist |
Location | 18001 N Western Ave Ste 106, Edmond, Oklahoma |
Authorized Official Name and Position | James Calvin Peck (PRESIDENT) |
Authorized Official Contact | 4055629550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Redbud Dental 18001 N Western Ave Ste 106 Edmond OK 73012 Ph: (405) 562-9550 | Redbud Dental 18001 N Western Ave Ste 106 Edmond OK 73012 Ph: (405) 562-9550 |
NPI Number | 1164720520 |
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Provider Enumeration Date | 03/09/2011 |
Last Update Date | 06/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164720520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6111 (Oklahoma) | Primary |
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