Organization
OB HEARNE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWEN BRADLEY HEARNE DDS (OWNER/PRESIDENT)
(580) 579-7477
Entity
Organization
Contact information
Practice address
400 MAIN ST, BROKEN BOW, OK 74728-2982
(580) 584-3321
(580) 584-3237
Mailing address
400 MAIN ST, BROKEN BOW, OK 74728-2982
(580) 584-3321
(580) 584-3237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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