Organization
DENTAL CARE OF MUSKOGEE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONAS CHRISTOPHER MCCALL D.D.S. (D.D.S.)
(918) 682-5518
Entity
Organization
Contact information
Practice address
2406 E. SHAWNEE AVENUE, SUITE D, MUSKOGEE, OK 74403-1561
(918) 682-5518
(918) 683-0410
Mailing address
2406 E. SHAWNEE AVENUE, SUITE D, MUSKOGEE, OK 74403-1561
(918) 682-5518
(918) 683-0410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5961
OK
1223G0001X
General Practice Dentistry
4047
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100054210A
—
OK
05
—
200030980A
—
OK
Enumeration date
04/10/2007
Last updated
04/01/2011
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