Organization
DENTAL ARTS OF PAWHUSKA, LLC
Active
Other names
Green Country Dental Arts of Pawhuska, PC
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BULLEIGH DDS (PRESIDENT)
(918) 287-4172
Entity
Organization
Contact information
Practice address
1840 E MAIN ST, PAWHUSKA, OK 74056-2500
(918) 287-4172
(918) 287-4176
Mailing address
1840 E MAIN ST, PAWHUSKA, OK 74056-2500
(918) 287-4172
(918) 287-4176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5431
OK
Other
Enumeration date
04/16/2007
Last updated
09/22/2020
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