Organization
YAERGER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELI ANN HILL (OFFICE ADMINISTRATOR)
(918) 758-0022
Entity
Organization
Contact information
Practice address
1015 E 6TH ST, OKMULGEE, OK 74447-4705
(918) 758-0022
(918) 756-2046
Mailing address
1015 E 6TH ST, OKMULGEE, OK 74447-4705
(918) 758-0022
(918) 756-2046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058840A
—
OK
Enumeration date
04/06/2007
Last updated
06/06/2012
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