Choctaw Dental Pllc

NPI #1699049114 in Choctaw, Oklahoma

Provider Information

NPI Number: 1699049114
Entity Type: Organization
Organization Name: Choctaw Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 1, 2012
Last Updated: Apr 29, 2021

Practice Location

Address: 14310 DALE STERNS DR
City: Choctaw
State: Oklahoma
ZIP Code: 73020
Phone: (405) 281-5800

Authorized Official

Name: BENJAMIN BOWMAN
Title: DENTIST/PRESIDENT
Phone: (405) 326-8004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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