Individual
DR. CLINTON DRAKE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
616 S BOSTON AVE STE 308, TULSA, OK 74119-1210
(918) 587-1303
Mailing address
616 S BOSTON AVE STE 308, TULSA, OK 74119-1210
(918) 587-1303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5979
OK
1223G0001X
General Practice Dentistry
5979
OK
Other
Enumeration date
07/12/2007
Last updated
05/02/2022
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