Individual
DR. JOHN CURTIS STOBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2616 N PARK AVE, SHAWNEE, OK 74804-2838
(405) 275-7730
Mailing address
2616 N PARK AVE, SHAWNEE, OK 74804-2838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5242
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097400A
—
OK
Enumeration date
11/16/2006
Last updated
07/08/2007
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