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Organization
DR. MICAH J. BEVINS D.D.S.
Active
Organization
DR. MICAH J. BEVINS D.D.S.
Active
Other names
Bevins Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH JON BEVINS D.D.S. (GENERAL DENTIST)
(918) 252-4444
Entity
Organization
Contact information
Practice address
6349 S MEMORIAL DR, SUITE B, TULSA, OK 74133-1928
(918) 252-4444
(918) 252-4333
Mailing address
6349 S MEMORIAL DR, SUITE B, TULSA, OK 74133-1928
(918) 252-4444
(918) 252-4333
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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