| Marietta Family Dentistry | |
|
108 S 2nd Ave Marietta OK 73448-2671 | |
| (580) 276-3055 | |
| Not Available |
| Full Name | Marietta Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 108 S 2nd Ave, Marietta, Oklahoma |
| Authorized Official Name and Position | William Robert Jennings (OWNER) |
| Authorized Official Contact | 9402068956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta Family Dentistry 2109 Commerce St Ste 200 Dallas TX 75201-4305 Ph: (972) 248-1221 | Marietta Family Dentistry 108 S 2nd Ave Marietta OK 73448-2671 Ph: (580) 276-3055 |
| NPI Number | 1316528961 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316528961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |