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Blue River Smiles Pllc
General Practice Dentistry in Tishomingo, Oklahoma
NPI 1760069520

Blue River Smiles Pllc is a General Practice Dentistry based in Edmond, OK and is specialized in General Practice. Blue River Smiles Pllc practices in Tishomingo, OK. The NPI Number for Blue River Smiles Pllc is 1760069520 and holds a License No. (Oklahoma).

The current practice location address for Blue River Smiles Pllc is 1202 E Main St, Tishomingo, OK and can be reached out via phone at 580-371-2396.

Location: 1202 E Main St, Tishomingo, OK, 73034-6909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760069520
Provider Name
Blue River Smiles Pllc
Credential
Provider Entity Type
Organization
Address
1202 E Main St, Tishomingo, OK, 73034-6909
Phone Number
580-371-2396
Fax Number
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1202 E Main St
City
Tishomingo
State
Oklahoma
Zip
73460-2409
Phone Number
580-371-2396
Fax Number
person
Provider Business Mailing Address Details
Address
1202 E Main St
City
Tishomingo
State
Oklahoma
Zip
73460-2409
Phone Number
580-371-2396
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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