Dental Designs of Stroud

Organization Active NPI General Practice Dentistry · Stroud, OK

NPI 1790798411 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1790798411
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
3573 (OK)
Legal business name
DENTAL DESIGNS OF STROUD
Practice address
401 W Main
Stroud, OK 74079
Phone
(918) 968-1606
Fax
(918) 968-1635
NPI assigned
Aug 14, 2006
Organization subpart
No

Authorized official

Name
Dr. Robert H Melton, DDS
Title
Pres
Phone
(918) 968-1606

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Dental Designs of Stroud (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 3573 OK Yes

Addresses

Primary practice location

401 W Main
Stroud, OK 74079

Mailing address

PO Box 684
Stroud, OK 74079
Phone (918) 968-1606

Other providers in Stroud, OK

All providers in Stroud, OK · General Practice Dentistry in Oklahoma

Sources for this page

Verify at the official NPI Registry.