Individual
DR. JOHN ANDREW CARLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
623 S MAIN ST, SAPULPA, OK 74066-5101
(918) 224-0369
(918) 224-9518
Mailing address
623 S MAIN ST, SAPULPA, OK 74066-5101
(918) 224-0369
(918) 224-9518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5471
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730968397
T.I.N.
OK
Enumeration date
02/22/2006
Last updated
09/03/2020
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