| Tej D. Lad Dds Inc Pc | |
|
725 W Main St Jenks OK 74037-3518 | |
| (918) 369-6118 | |
| (918) 369-6121 |
| Full Name | Tej D. Lad Dds Inc Pc |
|---|---|
| Speciality | Dentist |
| Location | 725 W Main St, Jenks, Oklahoma |
| Authorized Official Name and Position | Tej Dattatraya Lad (DOCTOR) |
| Authorized Official Contact | 9183696118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tej D. Lad Dds Inc Pc 725 W Main St Jenks OK 74037-3518 Ph: (918) 369-6118 | Tej D. Lad Dds Inc Pc 725 W Main St Jenks OK 74037-3518 Ph: (918) 369-6118 |
| NPI Number | 1134279102 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 10/21/2019 |
| Medicare PECOS PAC ID | 7719310218 |
|---|---|
| Medicare Enrollment ID | O20191212002885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134279102 | NPI | - | NPPES |
| 200095240A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5667 (Oklahoma) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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