| Oklahoma Dental-broken Arrow | |
|
2234 W Houston St Ste A Broken Arrow OK 74012-3519 | |
| (918) 251-0220 | |
| (405) 842-9954 |
| Full Name | Oklahoma Dental-broken Arrow |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2234 W Houston St Ste A, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Diane F Casteel (INSURANCE COORDINATOR) |
| Authorized Official Contact | 4058405600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Dental-broken Arrow 4801 Richmond Sq Oklahoma City OK 73118-2058 Ph: (405) 840-5600 | Oklahoma Dental-broken Arrow 2234 W Houston St Ste A Broken Arrow OK 74012-3519 Ph: (918) 251-0220 |
| NPI Number | 1497815971 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497815971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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