Spring Dental Muskogee, Pllc

NPI #1780127969 in Muskogee, Oklahoma

Provider Information

NPI Number: 1780127969
Entity Type: Organization
Organization Name: Spring Dental Muskogee, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 21, 2016
Last Updated: Jun 14, 2018

Practice Location

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

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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