Individual
RANDY S MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1701 S PEORIA AVE, TULSA, OK 74120-6801
(918) 743-2346
(918) 743-3166
Mailing address
1701 S PEORIA AVE, TULSA, OK 74120-6801
(918) 743-2346
(918) 743-3166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5434
OK
Other
Enumeration date
09/28/2006
Last updated
12/15/2022
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