Sudberry Dental

NPI #1962798595 in Ardmore, Oklahoma

Provider Information

NPI Number: 1962798595
Entity Type: Organization
Organization Name: Sudberry Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 22, 2011
Last Updated: Jun 22, 2011

Practice Location

Address: 1520 N COMMERCE ST STE A
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1858
Phone: (580) 226-1515

Authorized Official

Name: DR. THOMAS BLAKE SUDBERRY, D.D.S
Title: DENTIIST
Phone: (580) 226-1515

Specialties & Taxonomy Codes

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

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