| Vian Family Dental Clinic, Inc. | |
|
Highway 82 South And I40 Junction Vian OK 74962-0696 | |
| (918) 773-6200 | |
| (918) 773-6201 |
| Full Name | Vian Family Dental Clinic, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Highway 82 South And I40 Junction, Vian, Oklahoma |
| Authorized Official Name and Position | Logan Coffee (OWNER/DENTIST) |
| Authorized Official Contact | 9187736200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vian Family Dental Clinic, Inc. Po Box 696 Vian OK 74962-0696 Ph: (918) 773-6200 | Vian Family Dental Clinic, Inc. Highway 82 South And I40 Junction Vian OK 74962-0696 Ph: (918) 773-6200 |
| NPI Number | 1285663575 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285663575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5317 (Oklahoma) | Primary |