Organization
STEPHEN G. MCKEEVER, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G MCKEEVER DDS (OWNER)
(580) 233-1420
Entity
Organization
Contact information
Practice address
1420 W OWEN K GARRIOTT RD, BUILDING 3, ENID, OK 73703-5751
(580) 233-1420
(580) 233-2908
Mailing address
PO BOX 10099, ENID, OK 73706-0099
(580) 233-1420
(580) 233-2908
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
3026
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087470A
—
OK
Enumeration date
05/06/2008
Last updated
05/06/2008
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