| Broadway Dental, Llc | |
|
2104 N Broadway St Poteau OK 74953-2501 | |
| (918) 647-7080 | |
| Not Available |
| Full Name | Broadway Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2104 N Broadway St, Poteau, Oklahoma |
| Authorized Official Name and Position | Ayan Lawson (DENTIST) |
| Authorized Official Contact | 9184486083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental, Llc 114 W Main St Wilburton OK 74578-4044 Ph: (918) 465-3535 | Broadway Dental, Llc 2104 N Broadway St Poteau OK 74953-2501 Ph: (918) 647-7080 |
| NPI Number | 1497258354 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497258354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5809 (Oklahoma) | Primary |
Johndhorn Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 N Broadway St, Poteau, OK 74953 Phone: 918-649-1099 Fax: 918-649-1099 | |
Kenneth L Hammond Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Dewey Ave, Poteau, OK 74953 Phone: 918-647-4636 Fax: 918-647-8305 | |
Ronald N Hesser Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2104 N Broadway St, Poteau, OK 74953 Phone: 918-647-7080 Fax: 918-647-8066 | |
Dr Theodore W Kondos Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2208 No Broadway, Poteau, OK 74953 Phone: 918-647-8266 Fax: 918-647-9118 | |
Hammond Family Denitstry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Dewey Ave, Poteau, OK 74953 Phone: 918-647-4636 Fax: 918-647-8305 |