Ross Thomas Vandercreek

NPI #1073167243 in Ft Sill, Oklahoma

Provider Information

NPI Number: 1073167243
Entity Type: Individual
Name: Ross Thomas Vandercreek
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jul 26, 2019
Last Updated: Jul 26, 2019

Practice Location

Address: USA DENTAL HEALTH ACTIVITY
Address 2: 652 HAMILTON RD
City: Ft Sill
State: Oklahoma
ZIP Code: 73503
Phone: (240) 938-1951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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