| Dental Depot Of Moore, Pllc | |
|
2709 S. I-35 Frontage Rd Suite B Moore OK 73160 | |
| (405) 799-9123 | |
| Not Available |
| Full Name | Dental Depot Of Moore, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2709 S. I-35 Frontage Rd, Moore, Oklahoma |
| Authorized Official Name and Position | Bryson Pogson (DIR. OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of Moore, Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (405) 799-9123 | Dental Depot Of Moore, Pllc 2709 S. I-35 Frontage Rd Suite B Moore OK 73160 Ph: (405) 799-9123 |
| NPI Number | 1831325570 |
|---|---|
| Provider Enumeration Date | 06/09/2009 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831325570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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