Organization
BOBBY D. CHEATHAM,D.D.S.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY DON CHEATHAM DDS (OWNER/PEDIATRIC DENTIST)
(405) 562-2222
Entity
Organization
Contact information
Practice address
2800 N KELLY AVE STE 200, EDMOND, OK 73003-3004
(405) 562-2222
(405) 562-2222
Mailing address
2800 N KELLY AVE STE 200, EDMOND, OK 73003-3004
(405) 562-2222
(405) 562-2200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4220
OK
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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