Individual
ACE LOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 S OAKWOOD RD STE D, ENID, OK 73703-4945
(580) 242-5862
Mailing address
402 S OAKWOOD RD STE D, ENID, OK 73703-4945
(580) 242-5862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7292
OK
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us