| Happy Tooth Dental Group Of Skiatook P.c. | |
|
5265 W Rogers Blvd Ste C Skiatook OK 74070-5200 | |
| (918) 396-7766 | |
| (918) 396-7767 |
| Full Name | Happy Tooth Dental Group Of Skiatook P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5265 W Rogers Blvd Ste C, Skiatook, Oklahoma |
| Authorized Official Name and Position | Jonah R.b. Vandiver (OWNER) |
| Authorized Official Contact | 9183967766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Tooth Dental Group Of Skiatook P.c. 5265 W Rogers Blvd Ste C Skiatook OK 74070-5200 Ph: (918) 396-7766 | Happy Tooth Dental Group Of Skiatook P.c. 5265 W Rogers Blvd Ste C Skiatook OK 74070-5200 Ph: (918) 396-7766 |
| NPI Number | 1821322660 |
|---|---|
| Provider Enumeration Date | 09/28/2009 |
| Last Update Date | 09/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821322660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5392 (Oklahoma) | Primary |
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