Organization
ROY MADDOX DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY MADDOX DDS PC (OWNER/PRESIDENT)
(918) 369-1202
Entity
Organization
Contact information
Practice address
13000 SOUTH MEMORIAL DRIVE, BIXBY, OK 74008
(918) 369-1202
Mailing address
13000 SOUTH MEMORIAL DRIVE, BIXBY, OK 74008
(918) 369-1202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4417
OK
Other
Enumeration date
11/01/2006
Last updated
07/24/2008
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