Shoop Family Dentistry, Llc | |
2443 W Kenosha St Broken Arrow OK 74012-8964 | |
(918) 872-9030 | |
(918) 872-9040 |
Full Name | Shoop Family Dentistry, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 2443 W Kenosha St, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Joseph Brian Shoop (DENTIST/ OWNER) |
Authorized Official Contact | 9188729030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shoop Family Dentistry, Llc 2443 W Kenosha St Broken Arrow OK 74012-8964 Ph: (918) 872-9030 | Shoop Family Dentistry, Llc 2443 W Kenosha St Broken Arrow OK 74012-8964 Ph: (918) 872-9030 |
NPI Number | 1245597665 |
---|---|
Provider Enumeration Date | 04/23/2012 |
Last Update Date | 04/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245597665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5753 (Oklahoma) | Primary |
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