| Family Dentistry | |
|
1200 W 4th St Ste A Tahlequah OK 74464-5013 | |
| (918) 458-9100 | |
| (918) 458-9200 |
| Full Name | Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 W 4th St Ste A, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Thomason Michael Mcconnell (DENTIST) |
| Authorized Official Contact | 9184589100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry 1200 W 4th St Ste A Tahlequah OK 74464-5013 Ph: (918) 458-9100 | Family Dentistry 1200 W 4th St Ste A Tahlequah OK 74464-5013 Ph: (918) 458-9100 |
| NPI Number | 1649318882 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649318882 | NPI | - | NPPES |
| 814714 | Other | UNITED CONCORDIA | |
| 214781 | Other | VA | TRIGON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5267 (Oklahoma) | Primary |
Brant Rouse Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 559 Meadow Creek Drive, Tahlequah, OK 74464 Phone: 918-456-0977 Fax: 855-856-5958 | |
Errol J. Allison, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3070 S Muskogee Ave, Tahlequah, OK 74464 Phone: 918-456-3311 Fax: 918-456-1254 | |
Premiere Dentistry Of Tahlequah Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 E Ross Bypass, Tahlequah, OK 74464 Phone: 918-456-2555 Fax: 918-456-2444 | |
Tahlequah Dental Care Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 N Muskogee Ave, Tahlequah, OK 74464 Phone: 918-456-2273 Fax: 918-431-0938 | |
Don Logue Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 Park Hill Rd, Tahlequah, OK 74464 Phone: 918-456-3082 Fax: 918-456-3536 | |
Robert P. Webb, Iii, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-4477 | |
Matthew E. Walker Pc Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 E. Downing St., Tahlequah, OK 74464 Phone: 918-456-4441 Fax: 918-456-2523 |