Dewey Dental, PLLC
Clinic/Center, Dental in Dewey, OK. Organization (NPI-2).
NPI number1396186169
StatusActive
Last updated in NPPESJul 28, 2016
Details
- NPI
- 1396186169
- Entity type
- Organization (NPI-2)
- Legal business name
- Dewey Dental, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 9, 2013
- Last updated
- Jul 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 6473 | OK | Yes |
Practice location
417 E Don Tyler AveDewey, OK 74029-2315
Phone 918-534-3170
Mailing address
417 E Don Tyler AveDewey, OK 74029-2315
Phone 918-534-3170
Authorized official
Nathan T Bulleigh
President/Dentist
9185343170
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