Organization
SEMINOLE FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BOWMAN DDS (CEO)
(405) 326-8004
Entity
Organization
Contact information
Practice address
1117 N MILT PHILLIPS AVE, SEMINOLE, OK 74868-2321
(405) 930-4100
Mailing address
851 W I 35 FRONTAGE RD STE 350, EDMOND, OK 73034-7472
(405) 930-4100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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