# PHIL TYREE DDS PC

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

## Provider details

- **NPI number:** 1326129768
- **Authorized official:** DR. PHIL J TYREE DDS (OWNER)
- **Authorized official phone:** (405) 379-6695

## Contact information

- **Practice address:** 201 N HINCKLEY ST, HOLDENVILLE, OK 74848-5449
- **Practice address phone:** (405) 379-6695
- **Practice address fax:** (405) 379-6923
- **Mailing address:** 201 N HINCKLEY ST, HOLDENVILLE, OK 74848-5449
- **Mailing address phone:** (405) 379-6695
- **Mailing address fax:** (405) 379-6923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4007 | OK | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/22/2020