| Mcloud Dental Center | |
|
806 S 8th St Mcloud OK 74851-8628 | |
| (405) 395-2020 | |
| (405) 395-2608 |
| Full Name | Mcloud Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 806 S 8th St, Mcloud, Oklahoma |
| Authorized Official Name and Position | Jae Woo Choi (OWNER/DENTIST) |
| Authorized Official Contact | 4053140449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcloud Dental Center 806 S. 8th St. Mcloud OK 74851 Ph: (405) 395-2020 | Mcloud Dental Center 806 S 8th St Mcloud OK 74851-8628 Ph: (405) 395-2020 |
| NPI Number | 1932651783 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 10/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932651783 | NPI | - | NPPES |
| 200585480A | Medicaid | OK | |
| 200551660A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6704 (Oklahoma) | Primary |
Kickapoo Tribal Health Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 105365 S. Hwy 102, Building M, Mcloud, OK 74851 Phone: 405-964-2081 Fax: 405-964-2053 |
Mcloud Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 W. Broadway Ave, Mcloud, OK 74851 Phone: 405-964-2500 Fax: 405-964-2515 |
Mcloud Dental Center P.L.L.C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 South 8th Street, Mcloud, OK 74851 Phone: 405-315-9066 |