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NPI Code Detail

MEDICARE: COMFORT DENTAL OF GUTHRIE PLLC

MEDICARE: COMFORT DENTAL OF GUTHRIE 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 DentistryOK3767OK

General Provider Information

NPI Number : 1790832475
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMFORT DENTAL OF GUTHRIE PLLC
Provider Business Mailing Address
First Line : 2001 S DIVISION ST
Second Line :
City : GUTHRIE
State : OK
Zip : 73044-6063
Country : US
Telephone Number : 405-282-6440
Fax Number : 405-282-6785
Provider Business Practice Location Address
First Line : 2001 S DIVISION ST
Second Line :
City : GUTHRIE
State : OK
Zip : 73044-6063
Country : US
Telephone Number : 405-282-6440
Fax Number : 405-282-6785
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEVEN KELLY BROWN
Credential : D.D.S.
Telephone Number : 405-282-6440
Provider Enumeration Date : 01/04/2007
Last Update Date : 08/22/2020

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Directions to “COMFORT DENTAL OF GUTHRIE PLLC ” Practice Location

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