Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLUE RIVER SMILES PLLC
Active OrganizationBLUE RIVER SMILES PLLC is a General Dentistry organization located in TISHOMINGO, Oklahoma. NPI 1760069520 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · TISHOMINGO, OK
Registration Details
- NPI Number
- 1760069520
- Provider Type
- Organization
- NPI Issued
- Mar 26, 2021 (5.4223390049105 yrs)
- Last Updated
- Mar 26, 2021
Practice Information
- Address
-
1202 E MAIN STTISHOMINGO, OK, 734602409Browse OK providers · Browse ZIP 73460
- Phone
- 5803712396
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.