Spring Dental-Broken Arrow
NPI #1164897666 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1164897666
- Entity Type
- Organization
- Organization Name
- Spring Dental-Broken Arrow
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 9, 2015
- Last Updated
- Jun 14, 2018
Practice Location
- Address
- 6416 S ELM PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-4819
- Phone
- (918) 895-6568
Authorized Official
- Name
- RENEE MCBAY
- Title
- CREDENTIALING SPEICALIST
- Phone
- (918) 998-0996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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