Organization
SHAWNEE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M KOONCE DDS (DENTIST)
(405) 275-4581
Entity
Organization
Contact information
Practice address
3 E MACARTHUR ST, SHAWNEE, OK 74804-2141
(405) 275-4581
(405) 214-4409
Mailing address
3 E MACARTHUR ST, SHAWNEE, OK 74804-2141
(405) 275-4581
(405) 214-4409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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