Organization
ERIC J. MEAD P.L.L.C.
Active
Other names
Heavener Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC MEAD DDS (OWNER)
(918) 653-4808
Entity
Organization
Contact information
Practice address
511 E 2ND ST, HEAVENER, OK 74937-3419
(918) 653-4808
Mailing address
PO BOX 190, HEAVENER, OK 74937-0190
(918) 653-4808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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