| Scissortail Dental Pllc | |
|
216 E 10th Street Plz Edmond OK 73034-4737 | |
| (405) 348-5100 | |
| Not Available |
| Full Name | Scissortail Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 216 E 10th Street Plz, Edmond, Oklahoma |
| Authorized Official Name and Position | James Farley (MANAGING PARTNER) |
| Authorized Official Contact | 4053485100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scissortail Dental Pllc 216 E 10th Street Plz Edmond OK 73034-4737 Ph: () - | Scissortail Dental Pllc 216 E 10th Street Plz Edmond OK 73034-4737 Ph: (405) 348-5100 |
| NPI Number | 1013403336 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013403336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3794 (Oklahoma) | Primary |
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› Verified 6 days ago
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