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NPI Code Detail

MEDICARE: DR. GEOFFREY CAMERON SLOAT DDS

MEDICARE: DR. GEOFFREY CAMERON SLOAT DDS
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 Dentistry6230OK

General Provider Information

NPI Number : 1962715227
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEOFFREY CAMERON SLOAT DDS
Provider Business Mailing Address
First Line : 1713 NW 146TH ST
Second Line :
City : EDMOND
State : OK
Zip : 73013-2490
Country : US
Telephone Number : 405-315-8904
Fax Number :
Provider Business Practice Location Address
First Line : 6616 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-1708
Country : US
Telephone Number : 405-601-7852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2010
Last Update Date : 07/15/2010

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