| Bedlam Smiles | |
|
823 W Chickasha Ave Chickasha OK 73018-2307 | |
| (405) 224-1727 | |
| Not Available |
| Full Name | Bedlam Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 823 W Chickasha Ave, Chickasha, Oklahoma |
| Authorized Official Name and Position | Jonathon Van Thomas (DENTIST) |
| Authorized Official Contact | 4052241727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedlam Smiles Po Box 340 Chickasha OK 73023-0340 Ph: (405) 224-1727 | Bedlam Smiles 823 W Chickasha Ave Chickasha OK 73018-2307 Ph: (405) 224-1727 |
| NPI Number | 1295945814 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 12/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295945814 | NPI | - | NPPES |
| 100091680A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5295 (Oklahoma) | Primary |
Debra A. Eaton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 W Chickasha Ave, Suite 503, Chickasha, OK 73018 Phone: 405-224-6581 Fax: 405-224-3292 | |
Richard S Dillon Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 720 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-1311 | |
Grand Ave Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-1311 Fax: 405-222-3654 | |
Optimum Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2209 S 4th St, Chickasha, OK 73018 Phone: 405-256-3267 | |
Grand Avenue Dental Studio Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-1311 Fax: 405-222-3654 | |
John G. Dyer, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 S 4th St., Chickasha, OK 73018 Phone: 405-224-9601 |