# SPARTAN FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1750839163
- **Authorized official:** DR. MARTIN TROCKEL DDS (DOCTOR)
- **Authorized official phone:** (918) 366-3777

## Contact information

- **Practice address:** 5 W DAWES AVE, BIXBY, OK 74008-4422
- **Practice address phone:** (918) 366-3777
- **Mailing address:** 5 W DAWES AVE, BIXBY, OK 74008
- **Mailing address phone:** (918) 366-3777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6717 | OK | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/14/2016
