Individual
TRAVIS STORTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1220 MERRICK DR, ARDMORE, OK 73401-1824
(580) 223-6720
(580) 223-6724
Mailing address
1220 MERRICK DR, ARDMORE, OK 73401-1824
(580) 223-6720
(580) 223-6724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6692
OK
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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