Blue River Smiles PLLC
Blue River Smiles PLLC is a General Practice Dentistry in Tishomingo, Oklahoma. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1202 E Main StTishomingo, OK 73460-2409
Phone: (580) 371-2396
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1760069520 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Brasher — President · (405) 474-6362 |
| NPI enumerated | March 26, 2021 |
| Last updated in NPPES | March 26, 2021 |
| Certification date | March 26, 2021 |
| Mailing address | 3901 E Covell Rd, Edmond, OK 73034-6909 |
Other providers in Tishomingo
-
Katrina J Darcey, DDS
610 E 24th St, Tishomingo, OK 73460-3245 · (580) 371-2343