Organization
NEW IMAGE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CARTER PIERCE DDS (DENTIST)
(580) 327-1152
Entity
Organization
Contact information
Practice address
1172 E. OKLAHOMA BLVD, ALVA, OK 73717-2372
(580) 327-1152
(580) 327-6877
Mailing address
1172 E. OKLAHOMA BLVD., ALVA, OK 73717-2372
(580) 327-1152
(580) 327-6877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5177
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200032400-A
—
OK
Enumeration date
09/15/2006
Last updated
09/15/2009
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