# DENTAL EXCELLENCE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043325061
- **Authorized official:** DR. BRADFORD RAY WILLIAMS (DENTIST OWNER)
- **Authorized official phone:** (918) 396-3711

## Contact information

- **Practice address:** 1400 W 4TH ST, SKIATOOK, OK 74070
- **Practice address phone:** (918) 396-3711
- **Practice address fax:** (918) 396-1062
- **Mailing address:** PO BOX 1090, SKIATOOK, OK 74070
- **Mailing address phone:** (918) 396-3711
- **Mailing address fax:** (918) 396-1062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4393 | OK | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 07/15/2008