Organization
ADVANCED DENTAL SOLUTIONS PS
Active
Other names
PRYOR DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN M JOHNSON (INSURANCE ADVISOR)
(877) 221-7750
Entity
Organization
Contact information
Practice address
1909 S ELLIOTT ST, PRYOR, OK 74361-8027
(918) 825-0941
Mailing address
1909 S ELLIOTT ST, PRYOR, OK 74361-8027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
04/16/2021
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