NPI 1265704183

Parks Family Dental

Organisation Preferred Provider Organization Tishomingo, OK

Practice location

Address: 1520 E. Main Street, Tishomingo, OK 73460
Phone: (580) 371-3900
Fax: (580) 371-3903

Authorised official

Name: Tara Parks
Title: Office Manager
Phone: (580) 371-3900

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1124 (OK)

Other Preferred Provider Organization providers in Oklahoma →

Registry record

NPI: 1265704183
Entity type: Organization
NPI issued: 8 Feb 2012
Record last updated: 8 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.