Scissortail Dental Pllc

NPI #1013403336 in Edmond, Oklahoma

Provider Information

NPI Number: 1013403336
Entity Type: Organization
Organization Name: Scissortail Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 10, 2018
Last Updated: Jul 10, 2018

Practice Location

Address: 216 E 10TH STREET PLZ
City: Edmond
State: Oklahoma
ZIP Code: 73034-4737
Phone: (405) 348-5100

Authorized Official

Name: JAMES FARLEY
Title: MANAGING PARTNER
Phone: (405) 348-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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