Advantage Dental Group, Pllc

NPI #1063974640 in Bixby, Oklahoma

Provider Information

NPI Number: 1063974640
Entity Type: Organization
Organization Name: Advantage Dental Group, Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 3, 2019
Last Updated: Apr 3, 2019

Practice Location

Address: 11907 S MEMORIAL DR STE B
City: Bixby
State: Oklahoma
ZIP Code: 74008-2045
Phone: (918) 394-0303

Authorized Official

Name: MATT HALE
Title: AUTHORIZED REPRESENTATIVE
Phone: (214) 702-0729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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