Individual
DR. JOHN R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
HWY 56 & 270 JUNCTION, WEWOKA, OK 74884-1475
(405) 257-7318
(405) 257-2696
Mailing address
PO BOX 1475, WEWOKA, OK 74884-1475
(405) 257-7318
(405) 257-2696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1242
OK
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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