Tommy L. Mayhue D.d.s. | |
1119 N Council Ave Blanchard OK 73010-8037 | |
(405) 485-2020 | |
Not Available |
Full Name | Tommy L. Mayhue D.d.s. |
---|---|
Speciality | Dentist |
Location | 1119 N Council Ave, Blanchard, Oklahoma |
Authorized Official Name and Position | Tommy Leo Mayhue (DENTIST / OWNER) |
Authorized Official Contact | 4054852020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tommy L. Mayhue D.d.s. Po Box 575 Blanchard OK 73010-0575 Ph: (405) 485-2020 | Tommy L. Mayhue D.d.s. 1119 N Council Ave Blanchard OK 73010-8037 Ph: (405) 485-2020 |
NPI Number | 1831366848 |
---|---|
Provider Enumeration Date | 05/09/2008 |
Last Update Date | 05/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831366848 | NPI | - | NPPES |
1952454894 | Other | OK | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4419 (Oklahoma) | Primary |
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The Dental Garage Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 W Veterans Memorial Hwy, Blanchard, OK 73010 Phone: 405-597-2148 | |
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