Individual
ANA MARIE DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
504 E CHEROKEE AVE, SALLISAW, OK 74955-4842
(918) 776-0804
(918) 776-0835
Mailing address
504 E CHEROKEE AVE, SALLISAW, OK 74955-4842
(918) 776-0804
(918) 776-0835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4970
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192906
UNITED CONCORDIA PROVIDER
OK
Enumeration date
10/05/2006
Last updated
07/09/2007
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