| Absolute Smiles Family Dentistry | |
|
4800 E. Hwy. 37 Tuttle OK 73089 | |
| (405) 381-0900 | |
| (405) 381-0902 |
| Full Name | Absolute Smiles Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4800 E. Hwy. 37, Tuttle, Oklahoma |
| Authorized Official Name and Position | Brian G. Chastain (OWNER) |
| Authorized Official Contact | 4053810900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolute Smiles Family Dentistry 4800 E. Hwy. 37 Tuttle OK 73089 Ph: (405) 381-0900 | Absolute Smiles Family Dentistry 4800 E. Hwy. 37 Tuttle OK 73089 Ph: (405) 381-0900 |
| NPI Number | 1962702555 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962702555 | NPI | - | NPPES |
| 200115890A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5944 (Oklahoma) | Primary |
Jerry D Mccan Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Cedar Springs Drive, Tuttle, OK 73089 Phone: 405-381-2303 Fax: 405-381-2304 |