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Organization
PERRY SMILES
Active
Organization
PERRY SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD NELSON (OWNER)
(405) 260-6080
Entity
Organization
Contact information
Practice address
301 N 15TH ST, PERRY, OK 73077-5014
(580) 336-2255
Mailing address
301 N 15TH ST, PERRY, OK 73077-5014
(580) 336-2255
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/06/2020
Last updated
02/05/2024
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