Fort Gibson Family Dentistry Pc

NPI 1114052032 - Dentist - 1223G0001X

NPI Details
NPI 1114052032
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL JOHN MICHAEL
Position OWNER
Phone (918) 478-4433
Fax (918) 478-4066
Practice Location
801 S LEE ST
SUITE A
FORT GIBSON OK, 74434-8710, US
Phone (918) 478-4433
Fax (918) 478-4066
Business Location
801 S LEE ST.
SUITE A
FORT GIBSON OK, 74434, US
Phone (918) 478-4433
Fax (918) 478-4066
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1114052032 NPI Number
 

According to our database, Fort Gibson Family Dentistry Pc NPI is 1114052032, taxonomy code is 1223G0001X Fort Gibson Family Dentistry Pc physically located at 801 S Lee St, Fort Gibson OK, 74434-8710. NPI Number 1033115704 has the healthcare provider type.

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1114052032 NPI number is provided on an as is basis without warranty of any kind. 1114052032 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Gibson Family Dentistry Pc are for informational purposes only.