# STEPHEN O. GLENN, DDS

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

## Provider details

- **NPI number:** 1962676817
- **Authorized official:** DR. STEPHEN O GLENN DDS (OWNER/DENTIST)
- **Authorized official phone:** (918) 748-8484

## Contact information

- **Practice address:** 5319 S LEWIS AVE, SUITE 222, TULSA, OK 74105-6500
- **Practice address phone:** (918) 748-8484
- **Practice address fax:** (918) 744-0761
- **Mailing address:** 5319 S LEWIS AVE, SUITE 222, TULSA, OK 74105-6500
- **Mailing address phone:** (918) 748-8484
- **Mailing address fax:** (918) 744-0761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 3665 | OK | Yes |

## Other

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