Organization
TNT DENTAL SERVICES PLLC
Active
Other names
Willow Hill Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE JOEL TEWIS DDS (MEMBER OF PLLC)
(918) 289-7086
Entity
Organization
Contact information
Practice address
1829 S WOOD DRIVE, OKMULGEE, OK 74447
(918) 756-6500
(918) 756-6505
Mailing address
1829 S WOOD DRIVE, OKMULGEE, OK 74447
(918) 756-6500
(918) 756-6505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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