Stephen Taylor Foreman DDS

NPI 1073764205 - Dentist - 1223G0001X

NPI Details
NPI 1073764205
Gender Male
Enumeration Date 10/07/2008
Last Updated 10/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4 N. COO-Y-YAH
PRYOR OK, 74361, US
Phone (918) 825-0822
Fax (918) 825-0822
Business Location
P O BOX 1013
4 N. COO-Y-YAH
PRYOR OK, 74362-1013, US
Phone (918) 825-0822
Fax (918) 825-0822
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 7 2965 DENTIST
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According to our database, Dr. Stephen Taylor Foreman DDS NPI is 1073764205, taxonomy code is 1223G0001X and license number is 7 2965 DENTIST, license state is located at Oklahoma. Stephen Taylor Foreman DDS physically located at 4 N. Coo-y-yah, Pryor OK, 74361. NPI Number Stephen Taylor Foreman DDS has the Individual type.

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1073764205 NPI number is provided on an as is basis without warranty of any kind. 1073764205 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Taylor Foreman DDS are for informational purposes only.