# STEVEN W. FOOSHEE, D.D.S., INC.

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

## Provider details

- **NPI number:** 1366618654
- **Authorized official:** MS. ANGEL R. COLE (INSURANCE COORDINATOR)
- **Authorized official phone:** (918) 245-0229

## Contact information

- **Practice address:** 135 E BROADWAY ST, SAND SPRINGS, OK 74063-7640
- **Practice address phone:** (918) 245-0229
- **Practice address fax:** (918) 245-4205
- **Mailing address:** 135 E BROADWAY ST, SAND SPRINGS, OK 74063-7640
- **Mailing address phone:** (918) 245-0229
- **Mailing address fax:** (918) 245-4205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3841 | OK | Yes |

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 05/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100682170A | — | OK |
| 01 | — | 1467580548 | NPI 1 | OK |