Organization
STILLWATER DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY MCNICKLE DDS (OWNER)
(405) 624-3880
Entity
Organization
Contact information
Practice address
1439 S WESTERN RD, STILLWATER, OK 74074-6957
(405) 624-3880
(405) 624-3888
Mailing address
1439 S WESTERN RD, STILLWATER, OK 74074-6957
(405) 624-3880
(405) 624-3888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3939
OK
122300000X
Dentist
5802
OK
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
03/08/2023
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