| Ada Family Dentistry Inc. | |
|
500 N Monte Vista St Ste 1 Ada OK 74820-4670 | |
| (580) 272-9600 | |
| Not Available |
| Full Name | Ada Family Dentistry Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 N Monte Vista St Ste 1, Ada, Oklahoma |
| Authorized Official Name and Position | Bryan Dean Bratton (PRESIDENT) |
| Authorized Official Contact | 5802729600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ada Family Dentistry Inc. 500 N Monte Vista St Ste 1 Ada OK 74820-4670 Ph: (580) 272-9600 | Ada Family Dentistry Inc. 500 N Monte Vista St Ste 1 Ada OK 74820-4670 Ph: (580) 272-9600 |
| NPI Number | 1699927293 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699927293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5840 (Oklahoma) | Primary |
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