Individual
STEVEN MICHAEL KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
570 S POST RD, MIDWEST CITY, OK 73130-4618
(405) 732-0431
(045) 732-0431
Mailing address
570 S POST RD, MIDWEST CITY, OK 73130-4618
(405) 732-0431
(045) 732-0431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5550
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100097350A
MEDICAID
OK
Enumeration date
02/08/2007
Last updated
03/11/2024
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