Muskogee Dental Group, Inc.

NPI #1548526106 in Muskogee, Oklahoma

Provider Information

NPI Number: 1548526106
Entity Type: Organization
Organization Name: Muskogee Dental Group, Inc.
Primary Specialty: Dentist
Enumeration Date: Apr 9, 2012
Last Updated: Apr 9, 2012

Practice Location

Address: 2909 AZALEA PARK DR
City: Muskogee
State: Oklahoma
ZIP Code: 74401-2283
Phone: (918) 682-0544

Authorized Official

Name: DR. TERRY D. GRUBBS, D.D.S.
Title: OWENER
Phone: (918) 682-0544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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