Tom E Denton, DO
Individual provider Active NPI Family Medicine Physician · Stroud, OK
NPI 1912929324 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912929324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1289 (OK)
- Practice address
- RR 2 Box 247
Stroud, OK 74079-9652 - Phone
- (918) 968-9531
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1289 | OK | Yes |
Addresses
Primary practice location
RR 2 Box 247
Stroud, OK 74079-9652
Mailing address
PO Box 239
Arcadia, OK 73007-0239
Phone (405) 396-2206
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1201289 | Medicaid | OK |
Other providers in Stroud, OK
- Creoks Mental Health Services, Inc.
- Jessica Susan Culpepper
- Dental Designs of Stroud
- Dental Designs of Stroud PLLC
- Dental Designs of Stroud, LLC
- Dependable Home Medical Supplies, LLC
- Cindy A Dotson
- Gregory Dunlevy
- Keri M Elerick
- Jadan Enoch
All providers in Stroud, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.