Storts Family Dentistry, Jesse D. Storts, Jr. PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4633 Issued in OK

Legal business name

STORTS FAMILY DENTISTRY, JESSE D. STORTS, JR. PC

Practice address

1220 Merrick Dr
Ardmore, OK 73401-1824

Phone

(580) 223-6720

Fax

(580) 223-6724

NPI assigned

Jun 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jesse D Storts Jr., D.D.S.

Title

Dentists

Phone

(580) 223-6720

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1427344738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MERRICK DR.",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-223-6720",
            "fax_number": "580-223-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MERRICK DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011824",
            "telephone_number": "580-223-6720",
            "fax_number": "580-223-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORTS FAMILY DENTISTRY, JESSE D. STORTS, JR. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "STORTS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTISTS",
        "authorized_official_telephone_number": "580-223-6720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Stewart
• Karen M Stofel, NA
• Dallas Leahann Stone, RBT
• Justin Stone
• Storts and Sudberry PLLC
• Jesse D Storts, Jr., D.D.S.
• Lauren Storts, DDS
• Travis Storts, D.D.S.
• Pamela Louise Stout, RN, IBCLC
• Shane Stovall, RPT

• General Practice Dentistry in Ardmore, OK
• Providers in Ardmore, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.