Organization
STORTS FAMILY DENTISTRY, JESSE D. STORTS, JR. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE D STORTS JR. D.D.S. (DENTISTS)
(580) 223-6720
Entity
Organization
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
(580) 223-6720
(580) 223-6724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4633
OK
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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