| Dental Surgery Center Of Edmond | |
|
13912 N Western Ave Edmond OK 73013-1792 | |
| (405) 437-0622 | |
| Not Available |
| Full Name | Dental Surgery Center Of Edmond |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13912 N Western Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | Benjamin Bowman (OWNER) |
| Authorized Official Contact | 4053268004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Surgery Center Of Edmond 13912 N Western Ave Edmond OK 73013-1792 Ph: () - | Dental Surgery Center Of Edmond 13912 N Western Ave Edmond OK 73013-1792 Ph: (405) 437-0622 |
| NPI Number | 1386284552 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386284552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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