Organization
TRAVIS M STORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS M STORTS D.D.S. (DENTIST)
(580) 223-6720
Entity
Organization
Contact information
Practice address
1220 MERRICK DR, ARDMORE, OK 73401-1824
(580) 223-6720
(580) 223-6724
Mailing address
1220 MERRICK DR, ARDMORE, OK 73401-1824
(580) 223-6720
(580) 223-6724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6692
OK
Other
Enumeration date
05/26/2015
Last updated
06/29/2015
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