| Choctaw Dental Pllc | |
|
14310 Dale Sterns Dr Choctaw OK 73020 | |
| (405) 281-5800 | |
| Not Available |
| Full Name | Choctaw Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 14310 Dale Sterns Dr, Choctaw, Oklahoma |
| Authorized Official Name and Position | Benjamin Bowman (DENTIST/PRESIDENT) |
| Authorized Official Contact | 4053268004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choctaw Dental Pllc 9060 Harmony Dr Ste E Midwest City OK 73130-6253 Ph: (405) 594-8844 | Choctaw Dental Pllc 14310 Dale Sterns Dr Choctaw OK 73020 Ph: (405) 281-5800 |
| NPI Number | 1699049114 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699049114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6276 (Oklahoma) | Primary |
Allied Dental Associates Of Choctaw Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 N Henney Rd, Choctaw, OK 73020 Phone: 405-390-2000 Fax: 405-390-2018 |