Clinton D. Stevens, DDS, Inc, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5979 Issued in OK

Legal business name

CLINTON D. STEVENS, DDS, INC, PC

Practice address

15 W 6TH St
Suite 1615
Tulsa, OK 74119-5415

Phone

(918) 587-1303

Fax

(918) 587-6360

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clinton Drake Stevens, D.D.S.NPI 1588863393

Title

President

Phone

(918) 587-1303

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clinton Drake Stevens, DDS

  • Dentist
  • Tulsa, OK
  • NPI 1588863393

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1871767889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 6TH ST",
            "address_2": "SUITE 1615",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741195415",
            "telephone_number": "918-587-1303",
            "fax_number": "918-587-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 6TH ST",
            "address_2": "SUITE 1615",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741195415",
            "telephone_number": "918-587-1303",
            "fax_number": "918-587-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON D. STEVENS, DDS, INC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "DRAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-587-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical & Neuropsychological Services Inc
• Clinical Medical Consultants of Oklahoma LLC
• Clinical Partners PLLC Oklahoma
• Clinical Partners, PLLC - Oklahoma
• Rashonna Clinkscale
• Clinton J Baird PLC (Olympia Neurological Institute)
• Clinton J Baird PLC (Olympia Neurological Institute)
• Beth Ann Clinton
• Marie Clinton
• Taylor Clinton

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, 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 Apr 22, 2008; 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.