| Lakehaven Dental P.c | |
|
200 E 3rd Street Grove OK 74344 | |
| (918) 787-7900 | |
| (918) 787-5871 |
| Full Name | Lakehaven Dental P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 E 3rd Street, Grove, Oklahoma |
| Authorized Official Name and Position | Stefan S Hacker (PRESIDENT) |
| Authorized Official Contact | 9187877900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakehaven Dental P.c Po Box 451897 Grove OK 74345-1897 Ph: (918) 787-7900 | Lakehaven Dental P.c 200 E 3rd Street Grove OK 74344 Ph: (918) 787-7900 |
| NPI Number | 1215152608 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 11/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215152608 | NPI | - | NPPES |
| 200253590A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr Stan Crawford Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2209 S Main, Grove, OK 74344 Phone: 918-786-5533 Fax: 918-787-8800 | |
Affordable Dentures & Implants - Oklahoma, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6826 Highway 59 N, Grove, OK 74344 Phone: 918-786-9061 | |
Bryan Downing, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6806 Highway 59 N, Grove, OK 74344 Phone: 918-787-7977 | |
Dr. Karl R. Jobst Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 E 18th St, Grove, OK 74344 Phone: 918-787-5800 Fax: 918-787-5788 |