| Weatherford Dental Care Pllc | |
|
1325 N. Washington Street Weatherford OK 73096 | |
| (580) 772-2471 | |
| (580) 772-2436 |
| Full Name | Weatherford Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1325 N. Washington Street, Weatherford, Oklahoma |
| Authorized Official Name and Position | Nathan Clark Villines (DENTIST) |
| Authorized Official Contact | 5807722471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weatherford Dental Care Pllc 1325 N. Washington Street Weatherford OK 73096 Ph: (580) 772-2471 | Weatherford Dental Care Pllc 1325 N. Washington Street Weatherford OK 73096 Ph: (580) 772-2471 |
| NPI Number | 1881942654 |
|---|---|
| Provider Enumeration Date | 08/27/2012 |
| Last Update Date | 08/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881942654 | NPI | - | NPPES |
| 100126540A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5446 (Oklahoma) | Primary |
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