| Hero Dental Of Oklahoma Pc | |
|
7715 E 91st St Ste A Tulsa OK 74133-6060 | |
| (918) 872-7009 | |
| Not Available |
| Full Name | Hero Dental Of Oklahoma Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7715 E 91st St Ste A, Tulsa, Oklahoma |
| Authorized Official Name and Position | Charlotte Souder (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7196490305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hero Dental Of Oklahoma Pc 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 576-1850 | Hero Dental Of Oklahoma Pc 7715 E 91st St Ste A Tulsa OK 74133-6060 Ph: (918) 872-7009 |
| NPI Number | 1053875690 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 01/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053875690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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