| Kaw Pc | |
|
1516 S Iowa Chandler OK 74834 | |
| (405) 258-2684 | |
| (405) 258-5353 |
| Full Name | Kaw Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1516 S Iowa, Chandler, Oklahoma |
| Authorized Official Name and Position | Daniel J Wilguess (OWNER) |
| Authorized Official Contact | 4052582684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaw Pc Po Box 249 Chandler OK 74834 Ph: (405) 258-2684 | Kaw Pc 1516 S Iowa Chandler OK 74834 Ph: (405) 258-2684 |
| NPI Number | 1578750196 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 09/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578750196 | NPI | - | NPPES |
| 310784561002 | Other | OK | BLUE CROSS BLUE SHIELD |
| 01307512 | Other | OK | UNITED CONCORDIA |
| 445862194001 | Other | OK | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5503 (Oklahoma) | Secondary |
| 1223G0001X | Dentist - General Practice | 5487 (Oklahoma) | Primary |
Nicki Schafer Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 S Iowa Ave, Chandler, OK 74834 Phone: 405-258-2684 Fax: 405-258-5353 | |
Jerry W. Dickson D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Allison Ave, Chandler, OK 74834 Phone: 405-258-1042 Fax: 405-258-5009 | |
Chandler Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 E 1st St Ste A, Chandler, OK 74834 Phone: 405-328-7602 |