# SPIRO FAMILY DENTAL P.C.

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

## Provider details

- **NPI number:** 1730277740
- **Authorized official:** DR. KEIFER LAYNE FISHER D. D. S. (PRESIDENT)
- **Authorized official phone:** (918) 962-2466

## Contact information

- **Practice address:** 318 W BROADWAY ST, SPIRO, OK 74959-2422
- **Practice address phone:** (918) 962-2466
- **Practice address fax:** (918) 962-4004
- **Mailing address:** 318 W BROADWAY ST, SPIRO, OK 74959-2422
- **Mailing address phone:** (918) 962-2466
- **Mailing address fax:** (918) 962-4004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4826 | OK | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 01/09/2015