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Contact Information

ANTLERS FAMILY DENTIST PC
107 NE F ST
ANTLERS, OK74523-2603
 Phone: 580-298-5581
 Fax: 580-298-3310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ANTLERS FAMILY DENTIST PC · (Female)

NPI # 1245365907
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2007
Last updated 03/28/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 5049
  • OK Medicaid 100846880A
  • OK Other 796050 UNITED CONCORDIA PPO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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