Spring Dental Collinsville, Pllc

NPI #1477110963 in Collinsville, Oklahoma

Provider Information

NPI Number: 1477110963
Entity Type: Organization
Organization Name: Spring Dental Collinsville, Pllc
Primary Specialty: Dentist
Enumeration Date: May 21, 2019
Last Updated: Jun 7, 2023

Practice Location

Address: 619 W MAIN ST
City: Collinsville
State: Oklahoma
ZIP Code: 74021-3333
Phone: (918) 371-3375

Authorized Official

Name: CREED CARDON, DDS
Title: OWNER
Phone: (918) 998-0996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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