| Matthew Walls, Dds | |
|
12627 S Highway 51 Coweta OK 74429-6476 | |
| (918) 486-0039 | |
| (918) 486-0097 |
| Full Name | Matthew Walls, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12627 S Highway 51, Coweta, Oklahoma |
| Authorized Official Name and Position | Matthew Walls (PRESIDENT/DENTIST) |
| Authorized Official Contact | 9184860039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Walls, Dds 12627 S Highway 51 Coweta OK 74429-6476 Ph: (918) 486-0039 | Matthew Walls, Dds 12627 S Highway 51 Coweta OK 74429-6476 Ph: (918) 486-0039 |
| NPI Number | 1679740898 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679740898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | OK5393 (Oklahoma) | Primary |
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