Organization
CARTHAGE PEDIATRIC DENTISTRY, P LLC
Active
Other names
Carthage Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON DDS (PRESIDENT)
(918) 998-0996
Entity
Organization
Contact information
Practice address
124 W GEORGE E PHELPS BLVD, CARTHAGE, MO 64836-7892
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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