| Antlers Family Dentist Pc | |
|
107 Ne F St Antlers OK 74523-2603 | |
| (580) 298-5581 | |
| (580) 298-3310 |
| Full Name | Antlers Family Dentist Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 Ne F St, Antlers, Oklahoma |
| Authorized Official Name and Position | Twana Duncan (PRESIDENT) |
| Authorized Official Contact | 5802985581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antlers Family Dentist Pc 107 Ne F St Antlers OK 74523-2603 Ph: (580) 298-5581 | Antlers Family Dentist Pc 107 Ne F St Antlers OK 74523-2603 Ph: (580) 298-5581 |
| NPI Number | 1245365907 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 03/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245365907 | NPI | - | NPPES |
| 796050 | Other | OK | UNITED CONCORDIA PPO |
| 100846880A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5049 (Oklahoma) | Primary |