| Sdpokc, Pllc | |
|
3613 Nw 56th St Ste 105 Oklahoma City OK 73112-4520 | |
| (405) 946-2455 | |
| Not Available |
| Full Name | Sdpokc, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3613 Nw 56th St Ste 105, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Sara Brown (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sdpokc, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Sdpokc, Pllc 3613 Nw 56th St Ste 105 Oklahoma City OK 73112-4520 Ph: (405) 946-2455 |
| NPI Number | 1245903053 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245903053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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