| Midwest City Specialists, Llc | |
|
1621 Midtown Pl Ste B Midwest City OK 73130-6348 | |
| (405) 982-2121 | |
| (405) 561-0120 |
| Full Name | Midwest City Specialists, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1621 Midtown Pl Ste B, Midwest City, Oklahoma |
| Authorized Official Name and Position | Loren Israelsen (OWNER) |
| Authorized Official Contact | 4352327801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest City Specialists, Llc 1621 Midtown Pl Ste B Midwest City OK 73130-6348 Ph: (405) 982-2121 | Midwest City Specialists, Llc 1621 Midtown Pl Ste B Midwest City OK 73130-6348 Ph: (405) 982-2121 |
| NPI Number | 1396622379 |
|---|---|
| Provider Enumeration Date | 08/20/2025 |
| Last Update Date | 08/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396622379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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