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NPI Code Detail

MEDICARE: DUGAN DENTAL, INC.

MEDICARE: DUGAN DENTAL, INC.
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 Dentistry5168OK

General Provider Information

NPI Number : 1043267545
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUGAN DENTAL, INC.
Provider Business Mailing Address
First Line : 8827 E RENO AVE
Second Line : SUITE #202
City : MIDWEST CITY
State : OK
Zip : 73110-7732
Country : US
Telephone Number : 405-732-8999
Fax Number :
Provider Business Practice Location Address
First Line : 8827 E RENO AVE
Second Line : SUITE #202
City : MIDWEST CITY
State : OK
Zip : 73110-7732
Country : US
Telephone Number : 405-732-8999
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. D. COLEY DUGAN
Credential : D.D.S.
Telephone Number : 405-732-8999
Provider Enumeration Date : 05/28/2006
Last Update Date : 05/15/2008

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Directions to “DUGAN DENTAL, INC. ” Practice Location

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