# STILLWATER DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1689946964
- **Authorized official:** DR. ZACHARY MCNICKLE DDS (OWNER)
- **Authorized official phone:** (405) 624-3880

## Contact information

- **Practice address:** 1439 S WESTERN RD, STILLWATER, OK 74074-6957
- **Practice address phone:** (405) 624-3880
- **Practice address fax:** (405) 624-3888
- **Mailing address:** 1439 S WESTERN RD, STILLWATER, OK 74074-6957
- **Mailing address phone:** (405) 624-3880
- **Mailing address fax:** (405) 624-3888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3939 | OK | — |
| 122300000X | Dentist | 5802 | OK | — |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 03/08/2023