Organization
ADVANTAGE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A KNAPP D.D.S. (OWNER/DOCTOR)
(918) 394-0303
Entity
Organization
Contact information
Practice address
11907 S MEMORIAL DR STE B, BIXBY, OK 74008-2045
(918) 394-0303
Mailing address
11907 S MEMORIAL DR STE B, BIXBY, OK 74008-2045
(918) 394-0303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5870
OK
Other
Enumeration date
05/09/2008
Last updated
12/10/2018
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