Organization
STEVEN W. FOOSHEE, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGEL R. COLE (INSURANCE COORDINATOR)
(918) 245-0229
Entity
Organization
Contact information
Practice address
135 E BROADWAY ST, SAND SPRINGS, OK 74063-7640
(918) 245-0229
(918) 245-4205
Mailing address
135 E BROADWAY ST, SAND SPRINGS, OK 74063-7640
(918) 245-0229
(918) 245-4205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3841
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100682170A
—
OK
01
—
1467580548
NPI 1
OK
Enumeration date
05/06/2008
Last updated
05/06/2008
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