Organization
WT DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B BATTLE DDS (PRESIDENT)
(918) 341-3933
Entity
Organization
Contact information
Practice address
1222 N FLORENCE, SUITE B, CLAREMORE, OK 74017-3147
(918) 341-3933
(918) 342-8820
Mailing address
1222 N FLORENCE, SUITE B, CLAREMORE, OK 74017-3147
(918) 341-3933
(918) 342-8820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3922
OK
1223G0001X
General Practice Dentistry
5778
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200066360
—
OK
Enumeration date
10/19/2006
Last updated
06/10/2009
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