# ELGIN DENTAL CARE PC

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

## Provider details

- **NPI number:** 1982422531
- **Authorized official:** JOHN C PHILLIPS III DDS. PC (DENTIST/OWNER)
- **Authorized official phone:** (580) 492-5200

## Contact information

- **Practice address:** 555 COMMERCE ST, ELGIN, OK 73538-9999
- **Practice address phone:** (580) 492-5200
- **Practice address fax:** (580) 492-5201
- **Mailing address:** 555 COMMERCE ST, ELGIN, OK 73538
- **Mailing address phone:** (580) 492-5200
- **Mailing address fax:** (580) 492-5201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 10/02/2024