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Kingfisher Dental PLLC

Dentist, General Practice in Kingfisher, OK. Organization (NPI-2).

NPI number1992849996
StatusActive
Last updated in NPPESFeb 15, 2021

Details

NPI
1992849996
Entity type
Organization (NPI-2)
Legal business name
Kingfisher Dental PLLC
Organization subpart
No
Enumeration date
Feb 16, 2007
Certification date
Feb 15, 2021
Last updated
Feb 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice3767OKYes

Other names

  • Kingfisher Dentistry And Braces (Doing Business As)

Practice location

100 Starlite Dr
Kingfisher, OK 73750

Phone 405-375-5855 · Fax 405-358-2946

Mailing address

9060 Harmony Dr
Ste E
Midwest City, OK 73130

Phone 405-594-8844 · Fax 405-485-8043

Authorized official

Benjamin James Bowman
Owner
4053755855

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Other General Practice Dentistry providers in Kingfisher, OK

All 9 General Practice Dentistry providers in Kingfisher · All 151 providers in Kingfisher

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