| Affordable Dentistry | |
|
700 S Mustang Rd Yukon OK 73099-6777 | |
| (405) 494-7227 | |
| Not Available |
| Full Name | Affordable Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 700 S Mustang Rd, Yukon, Oklahoma |
| Authorized Official Name and Position | Ray D Tate (OWNER) |
| Authorized Official Contact | 4054204270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Dentistry 700 S Mustang Rd Yukon OK 73099-6777 Ph: () - | Affordable Dentistry 700 S Mustang Rd Yukon OK 73099-6777 Ph: (405) 494-7227 |
| NPI Number | 1316432040 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 07/13/2021 |
| Medicare PECOS PAC ID | 8426459439 |
|---|---|
| Medicare Enrollment ID | O20210917000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316432040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Ray Dean Tate |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558719245 PECOS PAC ID: 7416358437 Enrollment ID: I20210721000627 |
| Provider Name | Hans C Igou |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255778668 PECOS PAC ID: 4789069345 Enrollment ID: I20220916003228 |
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