| Kyle L. Serfoss, Dds, Pllc | |
|
810 W Gary Blvd Clinton OK 73601-2720 | |
| (580) 323-0763 | |
| (580) 323-5532 |
| Full Name | Kyle L. Serfoss, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 W Gary Blvd, Clinton, Oklahoma |
| Authorized Official Name and Position | Kyle Landon Serfoss (DENTIST) |
| Authorized Official Contact | 5803230763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle L. Serfoss, Dds, Pllc 810 W Gary Blvd Clinton OK 73601-2720 Ph: (580) 323-0763 | Kyle L. Serfoss, Dds, Pllc 810 W Gary Blvd Clinton OK 73601-2720 Ph: (580) 323-0763 |
| NPI Number | 1619155371 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619155371 | NPI | - | NPPES |
| 200090120A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5881 (Oklahoma) | Primary |
Clinton Dental Group Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 W Gary Blvd, Clinton, OK 73601 Phone: 580-323-0763 | |
David L. Boone, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 S 30th St, Clinton, OK 73601 Phone: 580-323-1177 Fax: 580-323-1178 | |
Devin P. Schoonmaker Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 W Gary Blvd, Clinton, OK 73601 Phone: 580-323-7733 Fax: 580-323-7733 |