Chickasha Dental Group Pllc

NPI #1922578384 in Chickasha, Oklahoma

Provider Information

NPI Number: 1922578384
Entity Type: Organization
Organization Name: Chickasha Dental Group Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 28, 2018
Last Updated: Nov 28, 2018

Practice Location

Address: 823 W CHICKASHA AVE
City: Chickasha
State: Oklahoma
ZIP Code: 73018-2307
Phone: (405) 224-1727

Authorized Official

Name: BRANDI ANN WILLIAMS
Title: CLINICAL DIRECTOR
Phone: (405) 250-2255

Specialties & Taxonomy Codes

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

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