| Piper Dental Holdings Llc | |
|
152 Coonrod Drive Mannford OK 74044 | |
| (918) 865-2247 | |
| Not Available |
| Full Name | Piper Dental Holdings Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 152 Coonrod Drive, Mannford, Oklahoma |
| Authorized Official Name and Position | Adam Moore (OWNER) |
| Authorized Official Contact | 9188652247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piper Dental Holdings Llc Po Box 1328 Mannford OK 74044-1328 Ph: (918) 865-2247 | Piper Dental Holdings Llc 152 Coonrod Drive Mannford OK 74044 Ph: (918) 865-2247 |
| NPI Number | 1114518941 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114518941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |