| Southern Smiles Dental Pc | |
|
8816 S Pennsylvania Ave Suite 300 Oklahoma City OK 73159-5232 | |
| (405) 682-4665 | |
| (405) 682-0667 |
| Full Name | Southern Smiles Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 8816 S Pennsylvania Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jaycee Starr Van Horn (OWNER/DENTIST) |
| Authorized Official Contact | 5802848142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Dental Pc 8816 S Pennsylvania Ave Suite 300 Oklahoma City OK 73159-5232 Ph: (405) 682-4665 | Southern Smiles Dental Pc 8816 S Pennsylvania Ave Suite 300 Oklahoma City OK 73159-5232 Ph: (405) 682-4665 |
| NPI Number | 1033508312 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033508312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6412 (Oklahoma) | Primary |
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› Verified 2 days ago
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