Organization
AFFORDABLE DENTAL
Active
Parent organization
FAMILY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY DENTISTRY
Authorized official
DR. QUINT WHITEFIELD DDS (OWNER/DENTIST)
(580) 762-5624
Entity
Organization
Contact information
Practice address
1618 N 5TH ST STE 4, PONCA CITY, OK 74601
(580) 765-0112
(580) 762-5644
Mailing address
1618 N 5TH ST STE 4, PONCA CITY, OK 74601-2764
(580) 765-0112
(580) 762-5644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5037
OK
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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