| Crystal L Phillips, DDS | |
|
2610 Shasten St, Grove, OK 74344-4904 | |
| (918) 786-5735 | |
| Not Available |
| Full Name | Crystal L Phillips |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 2610 Shasten St, Grove, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124100243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5852 (Oklahoma) | Primary |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal L Phillips, DDS 2610 Shasten St, Grove, OK 74344-4904 Ph: (918) 786-5735 | Crystal L Phillips, DDS 2610 Shasten St, Grove, OK 74344-4904 Ph: (918) 786-5735 |
Dr. Raegan Vaughan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2209 S Main St, Grove, OK 74344 Phone: 918-786-5533 | |
Audrey Lea Crawford, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2209 S Main, Grove, OK 74344 Phone: 918-786-5533 Fax: 918-797-8800 | |
Dr. Scott Kevin Brecheisen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 57 Heffelman Dr, Grove, OK 74344 Phone: 918-786-5533 Fax: 918-336-5584 | |
Elgin Ray Strahm, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 106 S Broadway St, Grove, OK 74344 Phone: 918-787-6204 Fax: 918-787-6209 | |
Dr. Karl R Jobst, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 119 E 18th St, Grove, OK 74344 Phone: 918-787-5800 Fax: 918-787-5788 | |
Dr. Adam Tyler Barnes, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6826 Us Highway 59, Grove, OK 74344 Phone: 918-786-9061 |