BWDENTISTRY

NPI: 1770691990 · Organization · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

200 E CHOCTAW AVE
SALLISAW, OK 74955-4604 Map ↗
Phone: 918-775-3201
Fax: 918-775-3394

Mailing Address

200 E CHOCTAW AVE
PO BOX 625
SALLISAW, OK 74955-4604 Map ↗
Phone: 918-775-3201
Fax: 918-775-3394

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice (license: 4740, OK)

NPI Registration

Enumerated: 2006-08-28

Last CMS Update: 2020-08-22