Family Dentistry Of Broken Arrow Pc

NPI 1124131172 - Dentist - 1223G0001X

NPI Details
NPI 1124131172
Enumeration Date 08/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TIMOTHY MITCHELL TIMOTHY
Position PRESIDENT
Phone (918) 455-3777
Fax (918) 451-6316
Practice Location
2001 S ELM PL
SUITE E
BROKEN ARROW OK, 74012, US
Phone (918) 455-3777
Fax (918) 451-6316
Business Location
2001 S ELM PL
SUITE E
BROKEN ARROW OK, 74012, US
Phone (918) 455-3777
Fax (918) 451-6316
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 4737
Remove 1124131172 NPI Number
 

According to our database, Family Dentistry Of Broken Arrow Pc NPI is 1124131172, taxonomy code is 1223G0001X and license number is 4737, license state is located at Oklahoma. Family Dentistry Of Broken Arrow Pc physically located at 2001 S Elm Pl, Broken Arrow OK, 74012. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1124131172 NPI number is provided on an as is basis without warranty of any kind. 1124131172 is maintained by the National Plan & Provider Enumeration System. The contents of Family Dentistry Of Broken Arrow Pc are for informational purposes only.