Individual
DRAKE K SELLMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
102 S CHERRY ST, SKIATOOK, OK 74070-1321
(918) 396-7373
(918) 396-3797
Mailing address
102 S CHERRY ST, SKIATOOK, OK 74070-1321
(918) 396-7373
(918) 396-3797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
P-94
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200032140A
—
OK
Enumeration date
07/07/2006
Last updated
01/27/2012
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