Spring Dental Bixby Pllc

NPI #1346722683 in Bixby, Oklahoma

Provider Information

NPI Number: 1346722683
Entity Type: Organization
Organization Name: Spring Dental Bixby Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 4, 2018
Last Updated: Sep 4, 2018

Practice Location

Address: 12345 S MEMORIAL DR STE 103
City: Bixby
State: Oklahoma
ZIP Code: 74008-2570
Phone: (918) 998-0996

Authorized Official

Name: RENEE MCBAY
Title: CREDENTIALING MANAGER
Phone: (918) 998-0996

Specialties & Taxonomy Codes

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

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