| Surrey Hills Dental Inc | |
|
12316 N Mustang Rd Yukon OK 73099-8166 | |
| (405) 373-2255 | |
| (405) 373-2256 |
| Full Name | Surrey Hills Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12316 N Mustang Rd, Yukon, Oklahoma |
| Authorized Official Name and Position | Donald Scott Wyatt (PRESIDENT) |
| Authorized Official Contact | 4053732255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surrey Hills Dental Inc 11117 Surrey Hills Blvd Yukon OK 73099-8155 Ph: (405) 373-2255 | Surrey Hills Dental Inc 12316 N Mustang Rd Yukon OK 73099-8166 Ph: (405) 373-2255 |
| NPI Number | 1043401599 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043401599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4778 (Oklahoma) | Primary |
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1st Impressions Dentistry Of Yukon Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 S. Ranchwood Blvd., Ste. 110, Yukon, OK 73099 Phone: 405-354-4806 Fax: 405-354-1277 | |
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