| Sunshine Smiles Pllc | |
|
427 Stone Wood Dr Ste 427 Broken Arrow OK 74012-1026 | |
| (918) 364-2222 | |
| Not Available |
| Full Name | Sunshine Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 427 Stone Wood Dr Ste 427, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Martin F Trockel (OWNER/ PARTNER) |
| Authorized Official Contact | 8013190603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Smiles Pllc 6632 S Memorial Dr Tulsa OK 74133-2050 Ph: (918) 364-2222 | Sunshine Smiles Pllc 427 Stone Wood Dr Ste 427 Broken Arrow OK 74012-1026 Ph: (918) 364-2222 |
| NPI Number | 1245023399 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245023399 | NPI | - | NPPES |
| 200894410A | Medicaid | OK | |
| 200678140A | Medicaid | OK | |
| 200527720A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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