| Phillip A. Tyndall, Dds,pc | |
|
415 E Hartford Ave Ponca City OK 74601-1512 | |
| (580) 762-7857 | |
| Not Available |
| Full Name | Phillip A. Tyndall, Dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 415 E Hartford Ave, Ponca City, Oklahoma |
| Authorized Official Name and Position | Nancy Tyndall (RDH/OFFICE MANAGER) |
| Authorized Official Contact | 5807627857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip A. Tyndall, Dds,pc 415 E Hartford Ave Ponca City OK 74601-1512 Ph: (580) 762-7857 | Phillip A. Tyndall, Dds,pc 415 E Hartford Ave Ponca City OK 74601-1512 Ph: (580) 762-7857 |
| NPI Number | 1265608749 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265608749 | NPI | - | NPPES |
| 100126460A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5342 (Oklahoma) | Primary |
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Phillip A. Tyndall, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-7857 Fax: 580-762-2788 | |
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