| Taldg Pllc | |
|
801 S Lee St Ste A Fort Gibson OK 74434-8710 | |
| (918) 478-4433 | |
| Not Available |
| Full Name | Taldg Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 S Lee St Ste A, Fort Gibson, Oklahoma |
| Authorized Official Name and Position | Brandi Williams (VP OF GROWTH) |
| Authorized Official Contact | 4052502255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taldg Pllc 801 S Lee St Ste A Fort Gibson OK 74434-8710 Ph: (918) 478-4433 | Taldg Pllc 801 S Lee St Ste A Fort Gibson OK 74434-8710 Ph: (918) 478-4433 |
| NPI Number | 1912668070 |
|---|---|
| Provider Enumeration Date | 12/31/2021 |
| Last Update Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912668070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Fort Gibson Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 S Lee St, Suite A, Fort Gibson, OK 74434 Phone: 918-478-4433 Fax: 918-478-4066 | |
Frank J Evans, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 S Lee St, Fort Gibson, OK 74434 Phone: 918-478-3160 Fax: 918-478-3160 |