Summer Dental Yukon, Pllc

NPI #1609380005 in Yukon, Oklahoma

Provider Information

NPI Number: 1609380005
Entity Type: Organization
Organization Name: Summer Dental Yukon, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 21, 2017
Last Updated: Jun 15, 2018

Practice Location

Address: 12444 NW 10TH ST.
Address 2: BLDG H, STE 107
City: Yukon
State: Oklahoma
ZIP Code: 73099
Phone: (918) 998-0996

Authorized Official

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

Specialties & Taxonomy Codes

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

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