Peak Dental Group LLC

NPI #1588957567 in Pryor, Oklahoma

Provider Information

NPI Number: 1588957567
Entity Type: Organization
Organization Name: Peak Dental Group LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 24, 2011
Last Updated: May 24, 2011

Practice Location

Address: 4 N COO Y YAH ST
City: Pryor
State: Oklahoma
ZIP Code: 74361-3820
Phone: (918) 825-0822

Authorized Official

Name: MR. JEFF A JACKSON
Title: CHIEF OPERATING OFFICER
Phone: (918) 408-6228

Specialties & Taxonomy Codes

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

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