Individual
ADAM KENNETH PFEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1502 W BLUE STARR DR, CLAREMORE, OK 74017-3202
(918) 707-5718
Mailing address
3406 ALDER AVE, APO, AP 99703-0000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30975
TX
1223G0001X
General Practice Dentistry
Primary
7148
OK
Other
Enumeration date
09/11/2015
Last updated
07/02/2019
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