| Bwdentistry | |
|
200 E Choctaw Ave Sallisaw OK 74955-4604 | |
| (918) 775-3201 | |
| (918) 775-3394 |
| Full Name | Bwdentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 E Choctaw Ave, Sallisaw, Oklahoma |
| Authorized Official Name and Position | Robert Henry Wells (PRESIDENT) |
| Authorized Official Contact | 9187753201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bwdentistry 200 E Choctaw Ave Po Box 625 Sallisaw OK 74955-4604 Ph: (918) 775-3201 | Bwdentistry 200 E Choctaw Ave Sallisaw OK 74955-4604 Ph: (918) 775-3201 |
| NPI Number | 1770691990 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770691990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4740 (Oklahoma) | Primary |
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