| Mary Temple-goins Dds Pllc | |
|
101 Jameson Dr Wynnewood OK 73098-9561 | |
| (405) 226-8373 | |
| Not Available |
| Full Name | Mary Temple-goins Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Jameson Dr, Wynnewood, Oklahoma |
| Authorized Official Name and Position | Mary Dwayna Temple-goins (OWNER/DENTIST) |
| Authorized Official Contact | 4052268373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Temple-goins Dds Pllc 22716 N County Road 3190 Elmore City OK 73433-9289 Ph: (405) 226-8373 | Mary Temple-goins Dds Pllc 101 Jameson Dr Wynnewood OK 73098-9561 Ph: (405) 226-8373 |
| NPI Number | 1124717988 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124717988 | NPI | - | NPPES |
| 1952926941 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr Kyle R Moore Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Jameson Drive, Wynnewood, OK 73098 Phone: 405-665-2041 Fax: 405-665-2707 |