Individual
DR. SLADE TAYLOR SHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2036 S MILLER LN STE B, CATOOSA, OK 74015-1539
(918) 266-6473
Mailing address
8601 S MINGO RD APT 7301, TULSA, OK 74133-4648
(620) 453-0222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7764
OK
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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