Scott Kevin Brecheisen, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Grove, OK
- NPI
- 1497779326
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 4558 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-26
- Last updated
- 2022-11-16
Practice location
57 Heffelman Dr
Grove, OK 74344-4549
(918) 786-5533