| Crescent Dental Group Pllc | |
|
120 N Grand Crescent OK 73028 | |
| (405) 969-3969 | |
| Not Available |
| Full Name | Crescent Dental Group Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 N Grand, Crescent, Oklahoma |
| Authorized Official Name and Position | Joshua Brasher (PRESIDENT) |
| Authorized Official Contact | 4054746362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Dental Group Pllc 120 N Grand Crescent OK 73028 Ph: (405) 969-3969 | Crescent Dental Group Pllc 120 N Grand Crescent OK 73028 Ph: (405) 969-3969 |
| NPI Number | 1578024774 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578024774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |