Organization
DAVID MCALLISTER,D.M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L SKINNER (OFFICE MANAGER)
(918) 455-9444
Entity
Organization
Contact information
Practice address
3100 S ELM PL, SUITE D, BROKEN ARROW, OK 74012-7950
(918) 455-9444
(918) 451-3613
Mailing address
3100 S ELM PL, SUITE D, BROKEN ARROW, OK 74012-7950
(918) 455-9444
(918) 451-3613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23401
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200077110A
SOONERCARE
OK
Enumeration date
02/08/2008
Last updated
02/11/2008
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