| Corwin Family Dentistry | |
|
221 E 7th Ave Bristow OK 74010-2503 | |
| (918) 367-3290 | |
| Not Available |
| Full Name | Corwin Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 221 E 7th Ave, Bristow, Oklahoma |
| Authorized Official Name and Position | James Owen Corwin (PRESIDENT) |
| Authorized Official Contact | 9183673290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corwin Family Dentistry 221 E 7th Ave Bristow OK 74010-2503 Ph: (918) 367-3290 | Corwin Family Dentistry 221 E 7th Ave Bristow OK 74010-2503 Ph: (918) 367-3290 |
| NPI Number | 1598980583 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598980583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5011 (Oklahoma) | Secondary |
| 122300000X | Dentist | 4993 (Oklahoma) | Primary |
Jay W. Pettit Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 N Elm St, Bristow, OK 74010 Phone: 918-367-5900 Fax: 918-367-3226 | |
Bristow Dental Designs Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N Main, Bristow, OK 74010 Phone: 918-367-3361 Fax: 918-367-7076 | |
Bristow Dental Designs, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N Main St, Bristow, OK 74010 Phone: 918-367-3361 |