# TRAVIS M STORTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063891877
- **Authorized official:** DR. TRAVIS M STORTS D.D.S. (DENTIST)
- **Authorized official phone:** (580) 223-6720

## Contact information

- **Practice address:** 1220 MERRICK DR, ARDMORE, OK 73401-1824
- **Practice address phone:** (580) 223-6720
- **Practice address fax:** (580) 223-6724
- **Mailing address:** 1220 MERRICK DR, ARDMORE, OK 73401-1824
- **Mailing address phone:** (580) 223-6720
- **Mailing address fax:** (580) 223-6724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6692 | OK | Yes |

## Other

- **Enumeration date:** 05/26/2015
- **Last updated:** 06/29/2015