| Smile Stop Dental Of Soutwest Tulsa | |
|
5676 W Skelly Dr Ste A Tulsa OK 74107-9134 | |
| (918) 446-0128 | |
| Not Available |
| Full Name | Smile Stop Dental Of Soutwest Tulsa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5676 W Skelly Dr Ste A, Tulsa, Oklahoma |
| Authorized Official Name and Position | John Lard (OWNER/DENTIST) |
| Authorized Official Contact | 9183361030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Stop Dental Of Soutwest Tulsa 5676 W Skelly Dr Ste A Tulsa OK 74107-9134 Ph: (918) 446-0128 | Smile Stop Dental Of Soutwest Tulsa 5676 W Skelly Dr Ste A Tulsa OK 74107-9134 Ph: (918) 446-0128 |
| NPI Number | 1518414523 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518414523 | NPI | - | NPPES |
| 5779 | Other | OK | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5779 (Oklahoma) | Primary |
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