Organization
MCCALL & SHANKLE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI L TRACY (OFFICE MANAGER)
(918) 682-5518
Entity
Organization
Contact information
Practice address
2406 E SHAWNEE RD, SUITE D, MUSKOGEE, OK 74403-1597
(918) 682-5518
(918) 683-0410
Mailing address
2406 E SHAWNEE RD, SUITE D, MUSKOGEE, OK 74403-1597
(918) 682-5518
(918) 683-0410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5961
OK
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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