| Dental Depot Orthodontics Norman Pllc | |
|
701 W Main St Norman OK 73069-6918 | |
| (405) 310-6123 | |
| Not Available |
| Full Name | Dental Depot Orthodontics Norman Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 701 W Main St, Norman, Oklahoma |
| Authorized Official Name and Position | Bryson Pogson (DIRECTOR) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Orthodontics Norman Pllc 1920 N Drexel Blvd Oklahoma City OK 73107-3925 Ph: (405) 945-8941 | Dental Depot Orthodontics Norman Pllc 701 W Main St Norman OK 73069-6918 Ph: (405) 310-6123 |
| NPI Number | 1013330885 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013330885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 73 (Oklahoma) | Primary |
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