Shawnee Dentistry And Braces | |
2616 N Park Ave Shawnee OK 74804-2838 | |
(405) 275-7730 | |
Not Available |
Full Name | Shawnee Dentistry And Braces |
---|---|
Speciality | Clinic/center - Dental |
Location | 2616 N Park Ave, Shawnee, Oklahoma |
Authorized Official Name and Position | Brad Nelson (OWNER) |
Authorized Official Contact | 4052606080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shawnee Dentistry And Braces 2616 N Park Ave Shawnee OK 74804-2838 Ph: (405) 275-7730 | Shawnee Dentistry And Braces 2616 N Park Ave Shawnee OK 74804-2838 Ph: (405) 275-7730 |
NPI Number | 1316432438 |
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Provider Enumeration Date | 07/01/2018 |
Last Update Date | 02/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316432438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 6 days ago
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