| Spartan Dental | |
|
5 W Dawes Ave Bixby OK 74008-4422 | |
| (918) 366-3777 | |
| Not Available |
| Full Name | Spartan Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5 W Dawes Ave, Bixby, Oklahoma |
| Authorized Official Name and Position | Joshua V Brasher (OWNER/PRESIDENT) |
| Authorized Official Contact | 4052502255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spartan Dental 5 W Dawes Ave Bixby OK 74008-4422 Ph: (918) 366-3777 | Spartan Dental 5 W Dawes Ave Bixby OK 74008-4422 Ph: (918) 366-3777 |
| NPI Number | 1497467773 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497467773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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