| Parks Family Dental | |
|
1520 East Main Street Tishomingo OK 73460 | |
| (580) 371-3900 | |
| (580) 371-3903 |
| Full Name | Parks Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1520 East Main Street, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Justin Ray Parks (DENTIST) |
| Authorized Official Contact | 5803713900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parks Family Dental 1520 East Main Street Tishomingo OK 73460 Ph: (580) 371-3900 | Parks Family Dental 1520 East Main Street Tishomingo OK 73460 Ph: (580) 371-3900 |
| NPI Number | 1316210768 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316210768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1124 (Oklahoma) | Primary |
Ron Austin, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 E Main St, Tishomingo, OK 73460 Phone: 580-371-2396 Fax: 580-371-9785 | |
Blue River Smiles Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 E Main St, Tishomingo, OK 73460 Phone: 580-371-2396 |