| Family Dentistry Of Broken Arrow Pc | |
|
2001 S Elm Pl Suite E Broken Arrow OK 74012 | |
| (918) 455-3777 | |
| (918) 451-6316 |
| Full Name | Family Dentistry Of Broken Arrow Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2001 S Elm Pl, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Timothy Mitchell Hughes (PRESIDENT) |
| Authorized Official Contact | 9184553777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Broken Arrow Pc 2001 S Elm Pl Suite E Broken Arrow OK 74012 Ph: (918) 455-3777 | Family Dentistry Of Broken Arrow Pc 2001 S Elm Pl Suite E Broken Arrow OK 74012 Ph: (918) 455-3777 |
| NPI Number | 1124131172 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124131172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4737 (Oklahoma) | Primary |
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