Organization
SPRING DENTAL BIXBY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MCBAY (CREDENTIALING MANAGER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
12345 S MEMORIAL DR STE 103, BIXBY, OK 74008-2570
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(191) 898-8099
(918) 310-1056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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