| Wagoner Family Dental, Pllc | |
|
302 S Hayes Ave Wagoner OK 74467-5551 | |
| (918) 485-3371 | |
| Not Available |
| Full Name | Wagoner Family Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 S Hayes Ave, Wagoner, Oklahoma |
| Authorized Official Name and Position | Lily Davis (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagoner Family Dental, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Wagoner Family Dental, Pllc 302 S Hayes Ave Wagoner OK 74467-5551 Ph: (918) 485-3371 |
| NPI Number | 1669245577 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669245577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Aaron S Harman Dds Pc Inc Dba Lakeside Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Hayes, Wagoner, OK 74467 Phone: 918-485-3371 Fax: 918-485-9175 | |
Wagoner Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Cherokee St, Wagoner, OK 74467 Phone: 918-485-2200 Fax: 918-485-8877 |