Happy Tooth Dental Group

NPI #1700056355 in Claremore, Oklahoma

Provider Information

NPI Number: 1700056355
Entity Type: Organization
Organization Name: Happy Tooth Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 10, 2008
Last Updated: Apr 16, 2008

Practice Location

Address: 900 E WILL ROGERS BLVD STE A
City: Claremore
State: Oklahoma
ZIP Code: 74017-6303
Phone: (918) 341-6900

Authorized Official

Name: DR. JONAH R.B. VANDIVER, D.D.S.
Title: OWNER/DENTIST
Phone: (918) 341-6900

Specialties & Taxonomy Codes

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

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