Organization
DR. MICAH J. BEVINS D.D.S.
Active
Other names
Bevins Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH JON BEVINS D.D.S. (GENERAL DENTIST)
(918) 252-4444
Entity
Organization
Contact information
Practice address
6349 S MEMORIAL DR, SUITE B, TULSA, OK 74133-1928
(918) 252-4444
(918) 252-4333
Mailing address
6349 S MEMORIAL DR, SUITE B, TULSA, OK 74133-1928
(918) 252-4444
(918) 252-4333
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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