| Kathleen Adolph, DDS | |
|
800 W Forrest Ave, Eufaula, OK 74432-3249 | |
| (918) 689-2547 | |
| (918) 689-3643 |
| Full Name | Kathleen Adolph |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 800 W Forrest Ave, Eufaula, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942220496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4960 (Oklahoma) | Primary |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Adolph, DDS 1801 E 4th St, Okmulgee, OK 74447-3942 Ph: (918) 756-4333 | Kathleen Adolph, DDS 800 W Forrest Ave, Eufaula, OK 74432-3249 Ph: (918) 689-2547 |
Dr. Ross Lucas Forrester, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 800 W Forrest Ave, Eufaula, OK 74432 Phone: 918-448-8399 | |
Dr. Roley Dale Mcintosh, DDS PC Dentist Medicare: Medicare Enrolled Practice Location: 900 Birkes Rd, Eufaula, OK 74432 Phone: 918-689-2583 Fax: 918-618-4204 | |
Robert M Dew, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 N Main St, Eufaula, OK 74432 Phone: 918-689-7788 Fax: 918-689-7789 | |
Dr. Stanley P Mcintosh, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 900 Birkes Rd, Eufaula, OK 74432 Phone: 918-689-2583 Fax: 918-689-1838 |