| Dentrust Oklahoma, Pc | |
|
3360 N Ave Bldg 685 Tinker Afb OK 73145-9028 | |
| (267) 927-5000 | |
| (267) 927-5001 |
| Full Name | Dentrust Oklahoma, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3360 N Ave Bldg 685, Tinker Afb, Oklahoma |
| Authorized Official Name and Position | Amanda Clark (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 2673625938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentrust Oklahoma, Pc 3360 N Ave Bldg 685 Tinker Afb OK 73145-9028 Ph: (267) 927-5000 | Dentrust Oklahoma, Pc 3360 N Ave Bldg 685 Tinker Afb OK 73145-9028 Ph: (267) 927-5000 |
| NPI Number | 1407560535 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407560535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |