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Organization
STORTS AND SUDBERRY PLLC
Active
Organization
STORTS AND SUDBERRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE D STORTS JR. DENTIST (OWNER)
(580) 223-6720
Entity
Organization
Contact information
Practice address
615 N COMMERCE, ARDMORE, OK 73401
(580) 223-6720
(580) 223-6724
Mailing address
615 N COMMERCE, ARDMORE, OK 73401
(580) 223-6720
(580) 223-6724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4633
OK
122300000X
Dentist
5443
OK
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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