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NPI 1760069520

OrganizationActive

Blue River Smiles PLLC

NPI 1760069520 · General Practice Dentistry · Tishomingo, OK

Provider details

NPI number: 1760069520
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Authorized official: Joshua Brasher, President

Practice location

1202 E Main St

Tishomingo, OK 73460-2409

Phone: (580) 371-2396

More OK providers

Mailing address

3901 E Covell Rd

Edmond, OK 73034-6909

Registry dates

Enumerated: 2021-03-26
Last updated: 2021-03-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Blue River Smiles PLLC — NPI 1760069520, Tishomingo, OK | NPI Central