| Aaron S Harman Dds Pc Inc Dba Lakeside Dental | |
|
302 S Hayes Wagoner OK 74467 | |
| (918) 485-3371 | |
| (918) 485-9175 |
| Full Name | Aaron S Harman Dds Pc Inc Dba Lakeside Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 S Hayes, Wagoner, Oklahoma |
| Authorized Official Name and Position | Aaron Shay Harman (DENTIST PRESIDENT) |
| Authorized Official Contact | 9184853371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron S Harman Dds Pc Inc Dba Lakeside Dental 302 S Hayes Wagoner OK 74467 Ph: (918) 485-3371 | Aaron S Harman Dds Pc Inc Dba Lakeside Dental 302 S Hayes Wagoner OK 74467 Ph: (918) 485-3371 |
| NPI Number | 1619143872 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619143872 | NPI | - | NPPES |
| 200001150A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5605 (Oklahoma) | Primary |
Wagoner Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Hayes Ave, Wagoner, OK 74467 Phone: 918-485-3371 | |
Wagoner Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Cherokee St, Wagoner, OK 74467 Phone: 918-485-2200 Fax: 918-485-8877 |