Organization
THE DENTISTS AT LANGLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
G. MICHAEL BIRD DDS,INC,PC (DR.)
(918) 782-2009
Entity
Organization
Contact information
Practice address
1666 N 3RD STREET, LANGLEY, OK 74350
(918) 782-2009
(918) 782-1042
Mailing address
P.O. BOX 189, LANGLEY, OK 74350
(918) 782-2009
(918) 782-1042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057320A
—
OK
Enumeration date
01/18/2008
Last updated
01/18/2008
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