| University Family Dentistry Pllc | |
|
20 E Dunloup Rd Ste A Shawnee OK 74804-3201 | |
| (405) 275-3210 | |
| Not Available |
| Full Name | University Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20 E Dunloup Rd Ste A, Shawnee, Oklahoma |
| Authorized Official Name and Position | Mack Timothy Rudd (OWNER) |
| Authorized Official Contact | 4058446333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Family Dentistry Pllc 775 W Covell Rd Ste 160 Edmond OK 73003-2302 Ph: (405) 844-6333 | University Family Dentistry Pllc 20 E Dunloup Rd Ste A Shawnee OK 74804-3201 Ph: (405) 275-3210 |
| NPI Number | 1902371958 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 10/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902371958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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