| Altus Mangum Dental Pllc | |
|
1410 N Louis Tittle Ave Mangum OK 73554-2218 | |
| (580) 782-5513 | |
| (580) 782-5156 |
| Full Name | Altus Mangum Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1410 N Louis Tittle Ave, Mangum, Oklahoma |
| Authorized Official Name and Position | Nathan S Sethman (OWNER/DOCTOR) |
| Authorized Official Contact | 5807825513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Altus Mangum Dental Pllc 1410 N Louis Tittle Ave Mangum OK 73554-2218 Ph: (580) 782-5513 | Altus Mangum Dental Pllc 1410 N Louis Tittle Ave Mangum OK 73554-2218 Ph: (580) 782-5513 |
| NPI Number | 1720685324 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720685324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Ez Sleep Solutions, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 E. Jefferson, Mangum, OK 73554 Phone: 590-782-2552 | |
Ambrose Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 1/2 N Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-5513 Fax: 580-782-5156 |