# STEPHEN W GARDER

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

## Provider details

- **NPI number:** 1801060751
- **Authorized official:** DR. STEPHEN W GARDER DDS (DENTIST)
- **Authorized official phone:** (405) 799-5529

## Contact information

- **Practice address:** 808 NE 19TH ST, MOORE, OK 73160-6302
- **Practice address phone:** (405) 799-5529
- **Practice address fax:** (405) 799-8223
- **Mailing address:** 808 NE 19TH ST, MOORE, OK 73160-6302
- **Mailing address phone:** (405) 799-5529
- **Mailing address fax:** (405) 799-8223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4599 | OK | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008