Storts and Sudberry PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

4633 Issued in OK

Legal business name

STORTS AND SUDBERRY PLLC

Practice address

615 N Commerce
Ardmore, OK 73401

Phone

(580) 223-6720

Fax

(580) 223-6724

NPI assigned

Oct 3, 2006

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., DENTIST

Title

Owner

Phone

(580) 223-6720

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse D Storts, Jr., D.D.S.

  • Dentist
  • Ardmore, OK
  • NPI 1326256843
  NPD (past)
• Thomas Blake Sudberry, D.D.S.

  • General Practice Dentistry
  • Ardmore, OK
  • NPI 1801081534
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780778951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N COMMERCE",
            "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": "615 N COMMERCE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-223-6720",
            "fax_number": "580-223-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORTS AND SUDBERRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STORTS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-223-6720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4633",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deon Stevenson
• Melissa Stewart
• Karen M Stofel, NA
• Dallas Leahann Stone, RBT
• Justin Stone
• Storts Family Dentistry, Jesse D. Storts, Jr. PC
• Jesse D Storts, Jr., D.D.S.
• Lauren Storts, DDS
• Travis Storts, D.D.S.
• Pamela Louise Stout, RN, IBCLC

• Dentist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.