| New Image Dental Care | |
|
1172 E. Oklahoma Blvd Alva OK 73717-2372 | |
| (580) 327-1152 | |
| (580) 327-6877 |
| Full Name | New Image Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1172 E. Oklahoma Blvd, Alva, Oklahoma |
| Authorized Official Name and Position | Jeffrey Carter Pierce (DENTIST) |
| Authorized Official Contact | 5803271152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Dental Care 1172 E. Oklahoma Blvd. Alva OK 73717-2372 Ph: (580) 327-1152 | New Image Dental Care 1172 E. Oklahoma Blvd Alva OK 73717-2372 Ph: (580) 327-1152 |
| NPI Number | 1205932316 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 09/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205932316 | NPI | - | NPPES |
| 200032400-A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5177 (Oklahoma) | Primary |
Larry G. Smith, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Barnes Ave, Alva, OK 73717 Phone: 580-327-4522 Fax: 580-327-4525 |