Organization
SOUTH SOONER DENTAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER PRESCOTT DMD (DOCTOR)
(405) 384-7071
Entity
Organization
Contact information
Practice address
1060 SW 4TH ST STE 200, MOORE, OK 73160
(405) 384-7071
Mailing address
1060 SW 4TH ST STE 200, MOORE, OK 73160-2494
(405) 384-7071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629595046
DOCTOR NPI
—
Enumeration date
10/18/2017
Last updated
09/07/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us