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Organization

SPRING DENTAL OKMULGEE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE MCBAY (CREDENTIALING SPECIALIST)
(918) 998-0996
Entity
Organization

Contact information

Practice address
1829 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-6500
(918) 756-6505
Mailing address
400 RIVERWALK TERRACE, STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/26/2017
Last updated
06/14/2018
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