# AEGIS DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Secure Dentures and Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386440642
- **Authorized official:** ADAM BARNES DDS (PARTNER)
- **Authorized official phone:** (405) 433-6665

## Contact information

- **Practice address:** 2671 E SUNSHINE ST, SPRINGFIELD, MO 65804-2044
- **Practice address phone:** (405) 433-6665
- **Mailing address:** 213 N BROADWAY ST, CHECOTAH, OK 74426-2431
- **Mailing address phone:** (405) 433-6665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2025
- **Last updated:** 02/19/2025
