Individual
STEPHANIE R SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
409 N GREEN AVE STE E, PURCELL, OK 73080-3226
(405) 527-0415
Mailing address
409 N GREEN AVE STE E, PURCELL, OK 73080-3226
(405) 527-0145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6606
OK
Other
Enumeration date
06/18/2014
Last updated
07/31/2015
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