Cantwell Dental Clinic, PC

Organization Active NPI General Practice Dentistry · Hinton, OK

NPI 1831490960 · NPPES record last updated Nov 5, 2010

Key facts

NPI
1831490960
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
5047 (OK)
Legal business name
CANTWELL DENTAL CLINIC, PC
Practice address
109 1/2 East Main Street
Hinton, OK 73047-1002
Phone
(405) 542-3700
Fax
(405) 542-3785
NPI assigned
Nov 5, 2010
Organization subpart
No

Authorized official

Name
Dr. Susan Denise Cantwell, DDS
Title
Ceo/Dentist
Phone
(405) 542-3700

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 5047 OK Yes

Addresses

Primary practice location

109 1/2 East Main Street
Hinton, OK 73047-1002

Mailing address

109 1/2 East Main Street
Box 1002
Hinton, OK 73047-1002
Phone (405) 542-3700

Other providers in Hinton, OK

All providers in Hinton, OK · General Practice Dentistry in Oklahoma

Sources for this page

Verify at the official NPI Registry.