Summer Dental Midwest City, Pllc
NPI #1518578095 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1518578095
- Entity Type
- Organization
- Organization Name
- Summer Dental Midwest City, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 10, 2020
- Last Updated
- Sep 29, 2020
Practice Location
- Address
- 1900 S AIR DEPOT BLVD STE 1
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-5522
- Phone
- (405) 455-1534
Authorized Official
- Name
- CREED L CARDON
- Title
- CLINICAL DIRECTOR
- Phone
- (918) 998-0996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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