Most Relevant Information
Provider Data
| NPI Number: | 1003815754 |
| Provider Name: | LARRY K PATTERSON D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 4487 |
Most Important Dates
| Enumeration Date: | 07/15/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
321 W BROADWAY ST
OKEMAH
OK
748592607
Practice Location Phone/Fax
| Phone: | 9186232910 |
| Fax: | 9186232943 |
Provider Mailing Location
PO BOX 347
OKEMAH
OK
748590347
Provider Mailing Phone/Fax
| Phone: | 9186232910 |
| Fax: | 9186232943 |