Organization
TRENA K STEWART,DDS,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENA KAYE STEWART DDS (OWNER/DENTIST)
(405) 629-0020
Entity
Organization
Contact information
Practice address
6510 S WESTERN AVE STE 201, OKLAHOMA CITY, OK 73139-1712
(405) 629-0020
Mailing address
6510 S WESTERN AVE STE 201, OKLAHOMA CITY, OK 73139-1712
(405) 629-0020
(405) 629-0022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5057
OK
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730321407
FEDERAL BLUE CROSS AND BLUE SHIELDS
OK
05
—
1730321407
—
OK
Enumeration date
03/27/2009
Last updated
02/26/2021
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