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NPI Code Detail

MEDICARE: F PHILIP ARCHER DDS PLLC

MEDICARE: F PHILIP ARCHER DDS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3422OK

General Provider Information

NPI Number : 1629363817
Entity Type Code : Organization
Provider Name (Legal Business Name) : F PHILIP ARCHER DDS PLLC
Provider Business Mailing Address
First Line : 9224 S TOLEDO CT
Second Line :
City : TULSA
State : OK
Zip : 74137-2743
Country : US
Telephone Number : 918-938-6161
Fax Number : 918-492-7379
Provider Business Practice Location Address
First Line : 9224 S TOLEDO CT
Second Line :
City : TULSA
State : OK
Zip : 74137-2743
Country : US
Telephone Number : 918-938-6161
Fax Number : 918-492-7379
Authorized Official
Title or Position : FRONT OFFICE
Name : MS. SHAYNA LYNN GIVENS
Credential :
Telephone Number : 918-938-6161
Provider Enumeration Date : 06/15/2011
Last Update Date : 10/17/2011

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Directions to “F PHILIP ARCHER DDS PLLC ” Practice Location

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