Organization
PREMIER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD REID DDS (OWNER)
(918) 279-7100
Entity
Organization
Contact information
Practice address
29933 E HWY 51, COWETA, OK 74429
(918) 279-7100
Mailing address
29933 E HWY 51, COWETA, OK 74429
(918) 279-7100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5958
OK
Other
Enumeration date
09/19/2008
Last updated
03/08/2023
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