| Shawnee Orthodontics | |
|
504 Shawnee Mall Dr Shawnee OK 74804-1317 | |
| (405) 878-8899 | |
| (405) 878-8896 |
| Full Name | Shawnee Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 504 Shawnee Mall Dr, Shawnee, Oklahoma |
| Authorized Official Name and Position | Anaita N Mullasseril (PRESIDENT) |
| Authorized Official Contact | 4058788899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Orthodontics 504 Shawnee Mall Dr Shawnee OK 74804-1317 Ph: (405) 878-8899 | Shawnee Orthodontics 504 Shawnee Mall Dr Shawnee OK 74804-1317 Ph: (405) 878-8899 |
| NPI Number | 1922366475 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 07/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922366475 | NPI | - | NPPES |
| 200432170A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 172 (Oklahoma) | Primary |
Impressions Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 E Independence St Ste 600, Shawnee, OK 74804 Phone: 405-273-2002 | |
Mydentist-shawnee Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W Interstate Pkwy, Shawnee, OK 74804 Phone: 405-275-0675 | |
Karnish Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 N Kennedy Ave Ste 101, Shawnee, OK 74801 Phone: 580-585-2005 | |
Andrew Minnigh, Dds, P.l.l.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 N Kennedy Ave, Sutie 102, Shawnee, OK 74801 Phone: 405-273-3270 Fax: 405-273-3467 | |
Hopkins Dental Clinic, P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 E Dunloup Rd, Shawnee, OK 74804 Phone: 405-275-1055 | |
Orthodontic Specialists Of Shawnee Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 E Dunloup Rd, Shawnee, OK 74804 Phone: 405-275-7520 Fax: 405-275-4787 | |
Shawnee Dentistry And Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2616 N Park Ave, Shawnee, OK 74804 Phone: 405-275-7730 |