| North Park Family Dental | |
|
301 S Boulevard Ste 118 Edmond OK 73034-3880 | |
| (405) 348-9182 | |
| Not Available |
| Full Name | North Park Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 301 S Boulevard Ste 118, Edmond, Oklahoma |
| Authorized Official Name and Position | Brad Nelson (OWNER) |
| Authorized Official Contact | 4052606080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Park Family Dental 301 S Boulevard Ste 118 Edmond OK 73034-3880 Ph: (405) 348-9182 | North Park Family Dental 301 S Boulevard Ste 118 Edmond OK 73034-3880 Ph: (405) 348-9182 |
| NPI Number | 1174168678 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174168678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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