| Jerry D Mccan Dds | |
|
7 Cedar Springs Drive Tuttle OK 73089-7929 | |
| (405) 381-2303 | |
| (405) 381-2304 |
| Full Name | Jerry D Mccan Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7 Cedar Springs Drive, Tuttle, Oklahoma |
| Authorized Official Name and Position | Jerry D Mccan (OWNER) |
| Authorized Official Contact | 4053812303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry D Mccan Dds 7 Cedar Springs Drive Tuttle OK 73089-7929 Ph: (405) 381-2303 | Jerry D Mccan Dds 7 Cedar Springs Drive Tuttle OK 73089-7929 Ph: (405) 381-2303 |
| NPI Number | 1265691695 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265691695 | NPI | - | NPPES |
| 100106100B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4124 (Oklahoma) | Primary |
Absolute Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 E. Hwy. 37, Tuttle, OK 73089 Phone: 405-381-0900 Fax: 405-381-0902 |