| Wagoner Family Dentistry, Pc | |
|
900 E Cherokee St Wagoner OK 74467-4718 | |
| (918) 485-2200 | |
| (918) 485-8877 |
| Full Name | Wagoner Family Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 900 E Cherokee St, Wagoner, Oklahoma |
| Authorized Official Name and Position | Michael K Craig (OWNER) |
| Authorized Official Contact | 9184852200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagoner Family Dentistry, Pc 900 E Cherokee St Wagoner OK 74467-4718 Ph: (918) 485-2200 | Wagoner Family Dentistry, Pc 900 E Cherokee St Wagoner OK 74467-4718 Ph: (918) 485-2200 |
| NPI Number | 1821276817 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821276817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5069 (Oklahoma) | 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 Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Hayes Ave, Wagoner, OK 74467 Phone: 918-485-3371 |