| Dental Lodge, Plc | |
|
305a N Main St Noble OK 73068-9322 | |
| (405) 872-9597 | |
| (405) 872-5271 |
| Full Name | Dental Lodge, Plc |
|---|---|
| Speciality | Dentist |
| Location | 305a N Main St, Noble, Oklahoma |
| Authorized Official Name and Position | Gary Dwayne Nabors (OWNER) |
| Authorized Official Contact | 4058729597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Lodge, Plc Po Box 69 Noble OK 73068-0069 Ph: (405) 872-9597 | Dental Lodge, Plc 305a N Main St Noble OK 73068-9322 Ph: (405) 872-9597 |
| NPI Number | 1831429042 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831429042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5955 (Oklahoma) | Primary |
Zachary D. Moffitt, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E. Etowah Rd, Noble, OK 73068 Phone: 405-872-0440 Fax: 405-872-0442 | |
The Dental Lodge Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305-a Main Street, Noble, OK 73068 Phone: 405-872-9597 Fax: 405-872-5271 | |
Dental Lodge Of Noble, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Parkwoods Dr, Noble, OK 73068 Phone: 405-872-9597 Fax: 405-872-5271 | |
Wandro Dental Of Noble Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Woods Dr, Noble, OK 73068 Phone: 405-872-8423 |