Full Name | Spartan Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 5 W Dawes Ave, Bixby, Oklahoma |
Authorized Official Name and Position | Joshua V Brasher (OWNER/PRESIDENT) |
Authorized Official Contact | 4052502255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spartan Pllc 5 W Dawes Ave Bixby OK 74008-4422 Ph: (918) 366-3777 | Spartan Pllc 5 W Dawes Ave Bixby OK 74008-4422 Ph: (918) 366-3777 |
NPI Number | 1497467773 |
---|---|
Provider Enumeration Date | 12/19/2022 |
Last Update Date | 12/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497467773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
News Archive
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