Organization
SUMMER DENTAL STILLWATER, PLLC
Active
Other names
Lakeview Pointe Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CREED L CARDON (CLINICAL DIRECTOR)
(918) 998-0996
Entity
Organization
Contact information
Practice address
2200 N PERKINS RD, STILLWATER, OK 74075-3076
(405) 372-7051
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
09/29/2020
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