| Cantwell Dental Clinic, Pc | |
|
109 1/2 East Main Street Hinton OK 73047-1002 | |
| (405) 542-3700 | |
| (405) 542-3785 |
| Full Name | Cantwell Dental Clinic, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 1/2 East Main Street, Hinton, Oklahoma |
| Authorized Official Name and Position | Susan Denise Cantwell (CEO/DENTIST) |
| Authorized Official Contact | 4055423700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cantwell Dental Clinic, Pc 109 1/2 East Main Street Box 1002 Hinton OK 73047-1002 Ph: (405) 542-3700 | Cantwell Dental Clinic, Pc 109 1/2 East Main Street Hinton OK 73047-1002 Ph: (405) 542-3700 |
| NPI Number | 1831490960 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831490960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5047 (Oklahoma) | Primary |
Heather R Koch Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1902 N Broadway, Hinton, OK 73047 Phone: 405-554-1018 |