| Bixby Spartan Dental Pllc | |
|
5 W Dawes Ave Bixby OK 74008-4422 | |
| (918) 366-3777 | |
| Not Available |
| Full Name | Bixby Spartan Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5 W Dawes Ave, Bixby, Oklahoma |
| Authorized Official Name and Position | Priscila Jelsing (PRESIDENT) |
| Authorized Official Contact | 9187437444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bixby Spartan Dental Pllc 2106 S Atlanta Pl Tulsa OK 74114-1709 Ph: (918) 743-7444 | Bixby Spartan Dental Pllc 5 W Dawes Ave Bixby OK 74008-4422 Ph: (918) 366-3777 |
| NPI Number | 1467003186 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467003186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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