| Okdds PLLC | |
|
301 E 141st St Glenpool OK 74033-3537 | |
| (918) 291-6000 | |
| Not Available |
| Full Name | Okdds PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 E 141st St, Glenpool, Oklahoma |
| Authorized Official Name and Position | Josh V Brasher (OWNER) |
| Authorized Official Contact | 4052502255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Okdds PLLC 301 E 141st St Glenpool OK 74033-3537 Ph: (918) 291-6000 | Okdds PLLC 301 E 141st St Glenpool OK 74033-3537 Ph: (918) 291-6000 |
| NPI Number | 1477375376 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477375376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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