El Reno Dental Group Pllc

NPI #1174054118 in El Reno, Oklahoma

Provider Information

NPI Number: 1174054118
Entity Type: Organization
Organization Name: El Reno Dental Group Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 22, 2017
Last Updated: Mar 22, 2017

Practice Location

Address: 1705 W ELM ST
City: El Reno
State: Oklahoma
ZIP Code: 73036-4203
Phone: (405) 262-2289

Authorized Official

Name: DR. JACOB HIGGINSON, DMD
Title: MBR
Phone: (618) 559-3505

Specialties & Taxonomy Codes

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

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