# SPRING DENTAL COLLINSVILLE, PLLC

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

## Provider details

- **NPI number:** 1477110963
- **Authorized official:** CREED CARDON DDS (OWNER)
- **Authorized official phone:** (918) 998-0996

## Contact information

- **Practice address:** 619 W MAIN ST, COLLINSVILLE, OK 74021-3333
- **Practice address phone:** (918) 371-3375
- **Practice address fax:** (918) 371-4407
- **Mailing address:** 400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
- **Mailing address phone:** (918) 998-0996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2019
- **Last updated:** 06/07/2023