# MICKEY SEHORN D.D.S., P.C.

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

## Provider details

- **NPI number:** 1821210444
- **Authorized official:** DR. MICKEY LYNN SEHORN D.D.S. (PRESIDENT)
- **Authorized official phone:** (405) 273-1020

## Contact information

- **Practice address:** 1601 AIRPORT DRIVE, SHAWNEE, OK 74804
- **Practice address phone:** (405) 273-1020
- **Mailing address:** 1601 AIRPORT DRIVE, SHAWNEE, OK 74804
- **Mailing address phone:** (405) 273-1020

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 09/12/2007