Individual
JOSEPH BRIAN SHOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3345 S HARVARD AVE, TULSA, OK 74135
(918) 743-8539
(918) 743-5270
Mailing address
3345 S HARVARD AVE, TULSA, OK 74135
(918) 743-8539
(918) 743-5270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5753
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753093237002
BLUE CROSS BLUE SHIELD
OK
Enumeration date
09/19/2006
Last updated
07/08/2007
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